CONTEXT Resection of pancreatic cancer with vascular invasion is a controversial issue, especially when the arterial trunks, such as the celiac axis, are involved. The modified Appleby procedure deals with the problem of encasement of the celiac trunk. CASE REPORT Two patients with locally advanced pancreatic cancer are reviewed: a 65-year-old female and a 78-year-old male with pancreatic can...

The arterial supply of the abdominal digestive organs and the developmental process were studied in 25 Japanese fetuses from 3 months to 9 months old into whose arteries latex rubber was injected. The results were as follows: 1) The branching patterns of the celiac trunk were classified into 5 types. The most common type or the complete celiac trunk was found in 18 cases (72%). Four variation t...

INTRODUCTION Median arcuate ligament (MAL) syndrome, also called celiac trunk compression syndrome (CACS) or Dunbar syndrome is a rare disorder caused by compression of the celiac artery by median arcuate ligament of the diaphragm, which leads to mesenteric ischemia and chronic abdominal angina. The typical clinical triad of symptoms includes postprandial epigastric pain, weight loss and vomiti...

Several options exist for the treatment of celiac artery aneurysms (CAAs), including surgical repair and endovascular procedures. However, CAAs is sometimes challenging due to their proximity ostium (CA) involvement branches. Herein, we describe a case giant CAA extending from proximal CA hepatosplenic bifurcation. Due anatomical complexity this CAA, control was major therapeutic concern. The p...

PURPOSE The aim of our study was to determine whether using C-arm CT (DYNA CT) during hepatic arteriography imaging assists in TACE treatment. MATERIALS AND METHODS 138 patients with HCC, 69 patients (Group A) underwent DYNA CT and routine digital subtraction angiography (DSA), while another 69 patients (Group B) underwent only DSA, were prospectively studied at a single facility between May ...

A 37-year-old man presented to the emergency department with abdominal pain and shock. He underwent endovascular embolization for splenic arterial aneurysm rupture caused by Ehlers-Danlos syndrome, which had been confirmed by genetic testing three years prior. Computed tomography showed an intra-abdominal hemorrhage, celiac arterial aneurysm, and embolic coils in the splenic artery (Picture 1, ...

Lin, Ling, George Bray, and David A. York. Enterostatin suppresses food intake in rats after near-celiac and intracarotid arterial injection. Am J Physiol Regulatory Integrative Comp Physiol 278: R1346–R1351, 2000.—Enterostatin (Ent) selectively suppresses the intake of dietary fat after peripheral and central administration. To further investigate the site of action of Ent, we compared the fee...

Origins and distribution of the human inferior phrenic arteries were studied by dissecting 68 Japanese adult cadavers. The inferior phrenic arteries were usually observed as paired (left and right) vessels. Their origins were summarized as follows: a) the aorta itself (85/138 cases, 61.6%), b) the ventro-visceral arteries (celiaco-mesenteric system of the aorta) including the celiac trunk (39/1...

The anatomical variations of the abdominal arteries are important due to its clinical significance. Various types of vascular anomalies are frequently found in human abdominal viscera, during cadaveric dissection and diagnostic radiological imaging. The present report describes a variation in the celiac trunk as found during routine dissection in a 59-year-old male cadaver. The celiac trunk (CT...

Celiac artery compression syndrome (CACS) or median arcuate ligament (MAL) syndrome is a rare vascular disease. The clinical manifestations of CACS include the triad of postprandial pain, vomiting, and weight loss. The pathogenesis of CACS is the external compression of celiac artery by the MAL or celiac ganglion. Moreover, some authors also reported the compression with different etiologies, s...