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Image Findings in Celiac Artery Stenosis Due to Median Arcuate Ligament Compression

A Crucial Diagnosis When Planning for Pancreaticoduodenectomy

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Journal of Gastrointestinal Surgery Aims and scope

Abstract

Celiac axis stenosis caused by extrinsic compression by the median arcuate ligament (MAL) is present in up to 5 % of patients undergoing pancreaticoduodenectomy. Failure to identify and manage MAL compression can lead to potentially devastating postoperative consequences that include frank liver necrosis and death. We report an incidental discovery of celiac axis stenosis by MAL in a patient prepared for pancreaticoduodenectomy. Image findings and operative management are discussed.

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Authors and Affiliations

  1. Division of General and Oncologic Surgery, Department of Surgery, University of Maryland School of Medicine, Baltimore, MD, USA

    Keli M. Turner & Cherif Boutros

  2. Tate Cancer Center, University of Maryland Baltimore Washington Medical Center, 301 Hospital Drive, Glen Burnie, MD, 21061, USA

    Keli M. Turner, Kunmi Majekodunmi, Alif Manejwala, David Neschis, Zina Novak & Cherif Boutros

Authors
  1. Keli M. Turner
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  2. Kunmi Majekodunmi
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  3. Alif Manejwala
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  4. David Neschis
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  5. Zina Novak
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  6. Cherif Boutros
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Correspondence to Cherif Boutros.

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Turner, K.M., Majekodunmi, K., Manejwala, A. et al. Image Findings in Celiac Artery Stenosis Due to Median Arcuate Ligament Compression. J Gastrointest Surg 18, 638–640 (2014). https://doi.org/10.1007/s11605-013-2445-5

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  • DOI: https://doi.org/10.1007/s11605-013-2445-5

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