Pancreaticoduodenectomy and the celiac artery compression syndrome

@article{Kohler1990PancreaticoduodenectomyAT,
  title={Pancreaticoduodenectomy and the celiac artery compression syndrome},
  author={Ted R. Kohler and Haile T. Debas and M Crames and Donald Eugene Strandness},
  journal={Annals of Vascular Surgery},
  year={1990},
  volume={4},
  pages={77-80}
}
Celiac compression is usually a benign condition, but when surgery necessitates division of collaterals from the superior mesenteric artery, it may cause life-threatening gut ischemia. We report a case of cholangiocarcinoma necessitating pancreaticoduodenectomy in a patient with celiac artery compression by the median arcuate ligament. Preoperative duplex scanning confirmed the celiac stenosis and revealed retrograde flow through collaterals from the superior mesenteric artery. Intraoperative… CONTINUE READING

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