Back to Search Start Over

A case of pancreatic cancer with concomitant median arcuate ligament syndrome treated successfully using an allograft arterial transposition

A case of pancreatic cancer with concomitant median arcuate ligament syndrome treated successfully using an allograft arterial transposition

Authors :
Victor Constantinica
Sebahattin Çelik
K. I. Ringe
Cristian Eugeniu Boru
Hüseyin Bektas
Source :
Journal of Surgical Case Reports
Publication Year :
2015

Abstract

An association of pancreatic cancer and median arcuate ligament syndrome (MALS) is a rare and challenging situation in terms of treatment. A 60-year-old man diagnosed with pancreatic cancer underwent laparotomy. A pancreaticoduodenectomy was planned, but during the resection part of the operation, a celiac artery stenosis was noticed. The patient was diagnosed with MALS causing almost total celiac artery occlusion, with no radiological solution. The patient was re-operated the next day, and an iliac artery allograft was used for aorta-proper hepatic artery reconstruction, concomitant with the total pancreaticoduodenectomy. Preoperative meticulous evaluation of vascular structures of the celiac trunk and its branches is important, especially in pancreatic surgery. A vascular allograft may be a lifesaving alternative when vascular reconstruction is necessary.

Details

Language :
English
Database :
OpenAIRE
Journal :
Journal of Surgical Case Reports
Accession number :
edsair.doi.dedup.....375ab0eb0d2f7767c0939c3dd9cbd3ad