Document Detail

Celiac axis occlusion with replaced common hepatic artery and pancreatoduodenectomy.
MedLine Citation:
PMID:  15120379     Owner:  NLM     Status:  MEDLINE    
A rare case of intraductal papillary mucinous tumor of the pancreas associated with a replaced common hepatic artery and celiac axis occlusion, which was treated by pancreatoduodenectomy, is reported. In this patient, the celiac trunk was occluded at its root and the splenic and left gastric artery could be visualized serially via the enlarged collateral artery on superior mesenteric arteriography. At surgery, the collateral artery was carefully preserved and pancreatoduodenectomy was successfully performed without ischemia of the stomach, spleen, and remnant pancreas. Although celiac axis occlusion is an uncommon finding for patients undergoing pancreatoduodenectomy, we recommend performing celio-mesenteric angiography before pancreatoduodenectomy, and, at surgery, clamping of the gastroduodenal artery is required for patients with celiac axis occlusion.
Yoshiaki Murakami; Kenichiro Uemura; Yujiro Yokoyama; Masaru Sasaki; Masahiko Morifuji; Yasuo Hayashidani; Takeshi Sudo; Taijiro Sueda
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract     Volume:  8     ISSN:  1091-255X     ISO Abbreviation:  J. Gastrointest. Surg.     Publication Date:    2004 May-Jun
Date Detail:
Created Date:  2004-05-03     Completed Date:  2004-10-26     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9706084     Medline TA:  J Gastrointest Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  520-2     Citation Subset:  IM    
Department of Surgery, Graduate School of Biomedical Sciences, Hiroshima University, Hiroshima, Japan.
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MeSH Terms
Arterial Occlusive Diseases / complications,  surgery*
Celiac Artery*
Cystadenoma, Mucinous / complications,  surgery*
Hepatic Artery / surgery*
Pancreatic Neoplasms / complications,  surgery*

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