Summary
Regional chemotherapy through a catheter placed in the hepatic artery is routinely used for treatment of unresectable liver metastasis from colon carcinoma. With some frequency, anatomical variations of the hepatic artery, including compression of the celiac axis, are found, and must be recognized preoperatively for appropriate management and placement of the catheter. We report a case of a colon cancer patient with multiple liver metastases and compression of the celiac axis, who received decompression of the celiac axis and catheterization of the hepatic artery.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Sugarbaker PH. Recurrent and advanced primary colorectal cancer: therapeutic implications of new concepts of gastrointestinal tumour biology. In Clinical Gastroenterology—Colorectal cancer, Bailliere Tindall, Vol. 3, No 3, W.B. Saunders, 1989;699-712.
Safi F, Bittner R, Roscher R, et al. Regional chemotherapy for hepatic metastases of colorectal carcinoma (continuous intra-arterial versus continuous intra-arterial/intravenous therapy). Results of a controlled clinical trial. Cancer 1989;64:379–387.
Archer SG, Gray BN. Vascularization of small liver metastases. Br J Surg 1989;76:545–548.
Archer SG, Gray BN. Comparison of portal vein chemotherapy with hepatic artery chemotherapy in the treatment of liver micro-metastases. Am J Surg 1990;159:325–329.
Baum S. Hepatic arteriography. In Angiography, 2nd ed., vol. II, Herbert L. Abrams, Little, Brown and Company, 1971;983-1002.
Elias D, Lasser P, Rougier P. A simplified surgical technical procedure for intra-arterial chemotherapy in secondary liver cancer. Experience in 50 patients. Eur J Surg Oncol 1987;13:441–448.
Williams S, Gillespie P, Little JM. Celiac axis compression syndrome: factors predicting a favorable outcome. Surgery 1985; 98(5):879–887.
Dunbar JD, Molnar W, Beman FF, et al. Compression of celiac trunk and abdominal angina Preliminary report of 15 cases. Am J Roentgenol 1965;95:731–744.
Stoney RJ, Wylie FJ. Recognition and surgical management of visceral ischemic syndromes. Ann Surg 1966;164:714–722.
Reuter AR, Olin T. Stenosis of the celiac artery. Radiology 1965; 85:617–627.
Patten RM, Coldwell DM, Ben-Menachem Y. Ligamentous compression of the celiac axis: CT findings in five patients. AJR 1991;156:1101–1103.
Colapinto RF, McLoughlin MJ, Weisbrod GL. The routine lateral aortogram and the celiac compression syndrome. Radiology 1972; 103:557–563.
Levin DC, Baltaxe HA. High incidence of celiac axis narrowing in asymptomatic individuals. Am J Roentgenol 1972;116:426–429.
Meaney TF, Kistner RL. Evaluation of intra-abdominal disease of obscure cause. Analysis of arteriograms of 185 patiens. Arch Surg 1967;94:811–816.
Bron KM, Redman HC. Splanchnic artery stenosis and occlusion: incidence, arteriographic, and clinical manifestations. Radiology 1969;92:323–328.
Szilagyi DE, Rian RL, Elliot JP, et al. The celiac artery compression syndrome: Does it exist? Surgery 1972;72:849–863.
Fortner JG, Watson RC: Median arcurate ligament obstruction of celiac axis and pancreatic cancer. Ann Surg 1981;194(6):698–700.
Quandalle P, Chambon JP, Marache P, et al. Pancreaticoduodenal artery aneurysms associated with celiac axis stenosis: report of two cases and review of the literature. Ann Vasc Surg 1990;4:540–545.
Le Bas P, Batt M, Gagliardi JM, et al. Aneurysm of the inferior mesenteric artery associated with occlusion of the celiac axis and superior mesenteric artery. Ann Vasc Surg 1986;1:253–257.
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Tsuno, N., Sawada, T., Shigematsu, H. et al. A case report of celiac axis compression and implications in regional chemotherapy for liver metastasis. Gastroenterol Jpn 28, 431–436 (1993). https://doi.org/10.1007/BF02776990
Received:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF02776990