J.Jpn. Surg. Soc.
ISSN 1880-1129

[Abstract] [Full Text PDF] （in Japanese / 884KB） [Members Only And Two Factor Auth.]

J.Jpn. Surg. Soc.. 96(12): 815-818, 1995

Case report

A CASE OF CARCINOMA OF THE PANCREAS HEAD ASSOCIATED WITH CELIAC AXIS COMPRESSION SYNDROME

1) Department of Surgery, Tokai Hospital, Nagoya, Japan
2) First Department of Surgery, Nagoya University, School of Medicine, Nagoya, Japan

Mitsuru Doke1), Naokazu Hayakawa1), Masato Nagino1), Shigehisa Kitagawa1), Syunichiro Komatsu1), Yuji Nimura2)

We report a 51-year-old woman with pancreas head cancer associated with celiac axis compression syndrome (CACS). Angiography demonstrated that the inferior pancreatico-duodenal artery and the posterior superior pancreaticoduodenal artery dilated significantly. The lateral view of aortography showed compression of the celiac axis. We performed pancreatoduodenectomy safely with cutting the median arcuate ligament. Postoperative course was uneventful. Postoperative angiography demonstrated improvement of the compression.
In CACS, celiac axis is compressed by the median arcuate ligament (seichu kyujo jintai in Japanese), not by the medial arcuate ligament (naisoku kyujo jintai in Japanese).

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