Lasting Over Time: 20-Year Follow-Up of Living Related Simultaneous Pancreas-Kidney Transplant Between Identical Twins.

Background: Twenty-year follow-up of the first reported simultaneous pancreas-kidney transplant from living donor between identical twins.
Case: We present a case of a patient after the world's first simultaneous pancreas and kidney transplant between identical twins. The transplant was performed because of diabetes mellitus type (DM1) related renal failure. Now in her sixties, the patient has had exceptional prolonged bi-graft function without immunosuppression. She is free from DM1 recurrence, does not take insulin, and her creatinine level has stayed with the normal limit.
Conclusions: Simultaneous pancreas and kidney transplant can be performed successfully with excellent long-term outcomes.
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