Celiac axis compression (CAC) may lead to ischemia of the upper abdominal organs during a pancreaticoduodenectomy (PD).
1The accentuation of CAC during expiration was reported
- Bull D.A.
- Hunter G.C.
- Crabtree T.G.
- Bernhard V.M.
- Putnam C.W.
Hepatic ischemia, caused by celiac axis compression, complicating pancreaticoduodenectomy.
Ann Surg. 1993; 217: 244-247
2; computed tomography (CT), on the other hand, is typically performed during inspiration.
- Reuter S.R.
Accentuation of celiac compression by the median arcuate ligament of the diaphragm during deep expiration.
Radiology. 1971; 98: 561-564
3Here we present a patient whose CAC was overlooked as a result of a preoperative inspiratory CT; the patient experienced hepatic ischemia during a PD.
- Horton K.M.
- Talamini M.A.
- Fishman E.K.
Median arcuate ligament syndrome: evaluation with CT angiography.
Radiographics. 2005; 25: 1177-1182
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- Hepatic ischemia, caused by celiac axis compression, complicating pancreaticoduodenectomy.Ann Surg. 1993; 217: 244-247
- Accentuation of celiac compression by the median arcuate ligament of the diaphragm during deep expiration.Radiology. 1971; 98: 561-564
- Median arcuate ligament syndrome: evaluation with CT angiography.Radiographics. 2005; 25: 1177-1182
- Celiac compression syndrome and liver transplantation.Ann Surg. 1993; 218: 10-12
© 2007 Mosby, Inc. Published by Elsevier Inc. All rights reserved.