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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
- 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.
- Subjects :
- medicine.medical_specialty
business.industry
medicine.medical_treatment
pancreatic cancer
Case Reports
medicine.disease
Pancreaticoduodenectomy
Preoperative care
Surgery
preoperative evaluation
Celiac artery
Laparotomy
Pancreatic cancer
Concomitant
medicine.artery
Occlusion
medicine
Radiology
business
Median arcuate ligament syndrome
median arcuate ligament syndrome
Subjects
Details
- Language :
- English
- Database :
- OpenAIRE
- Journal :
- Journal of Surgical Case Reports
- Accession number :
- edsair.doi.dedup.....375ab0eb0d2f7767c0939c3dd9cbd3ad