Celiac axis compression (CAC) may lead to ischemia of the upper abdominal organs during
a pancreaticoduodenectomy (PD).
1
The accentuation of CAC during expiration was reported
2
; computed tomography (CT), on the other hand, is typically performed during inspiration.
3
Here we present a patient whose CAC was overlooked as a result of a preoperative
inspiratory CT; the patient experienced hepatic ischemia during a PD.To read this article in full you will need to make a payment
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References
- 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
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© 2007 Mosby, Inc. Published by Elsevier Inc. All rights reserved.
