Abstract To avoid hepatobiliary and gastric ischaemia related directly to Appleby Kondo’s procedures, a novel SCARPS procedure (Staged Celiac Artery Resection with PancreatoSplenectomy) for resection of pancreatic cancer involving celiac axis trunk is described here. A 67-year-old female biopsy proven Pancreatic Ductal Adenocarcinoma (PDAC) encasing common hepatic artery underwent two stage rob...

Spontaneous dissection of the superior mesenteric and inferior mesenteric arteries and of the celiac artery is uncommon occurrence [1]. Celiac artery dissection (CTD) is rare, and can present with intimal flap, mural thrombus or infiltration of fat around the artery. The causes of CTD are several and different: hypertension, arteriosclerosis, degeneration of the arterial wall, trauma, pregnancy...

Spontaneous spinal hemorrhage is a rare condition. We present a case in which the diagnosis was complicated by a concomitant intra-abdominal hemorrhage. The patient, taking coumarins, presented with acute back pain and abdominal pain and progressive paresis of the lower limbs. Computed tomography angiography of the abdomen showed an intra-abdominal hemorrhage and an aneurysm of the celiac trunk...

Although vascular complications induced by acute aortic dissection are varied and common, gallbladder necrosis induced by acute aortic dissection is rare. We experienced the case of a 42-year-old woman who suffered from acute gallbladder necrosis that occurred the following day after the onset of acute type B aortic dissection. Contrasted computed tomography, which showed the thickened wall of ...

A rare anomaly, in which the celiac artery was not present, that is, the left gastric, the splenic and the common hepatic arteries arose independently from the abdominal aorta in that order, was found in an 80-year-old Japanese female among cadavers for student dissection. Such a case was not described in Adachi's classification (1928) of the variations of the celiac artery, but seemed to belon...