We present a case of a rare variation of the hepatic artery discovered during the routine examination of abdomen by computed tomography. This variation was showed by multidetector-row computed tomography (MDCT) in a 35-year-old man. There have been shown the common hepatic artery arising from the anterior surface of abdominal aorta, 4 mm inferior to the celiac trunk. We discussed clinical signi...

* Authors’ results were presented at the 66th Congress of Polish Surgeons Society in Warsaw (2013) According to expert consensus, cases with distal metastases, radiographic evidence of superior mesenteric vein (SMV) and portal vein abutment, distortion, tumor thrombus or venous encasement or no clear fat plane around the celiac axis, hepatic artery and superior mesenteric artery (SMA) are not t...

Introduction The common hepatic artery is normally a branch of coeliac trunk. It runs forwards and to the right and divides into a hepatic artery proper and a gastroduodenal artery. The hepatic artery proper terminates by dividing into right and left hepatic arteries and the gastroduodenal artery terminates by dividing into superior pancreaticoduodenal artery and right gastroepiploic artery. Th...

Pancreatic cancer remains one of the most feared of the gastrointestinal tract malignancies. The only reasonable chance for long-term survival is curative surgical resection, although this treatment is appropriate for only a small minority of patients because the majority present with advanced disease. Less than 20% of patients with adenocarcinoma of the neck, body and tail of the pancreas have...

BACKGROUND Intraaortic balloon pump (IABP) therapy is a widely used method of circulatory support. Based on frequent findings of balloon malposition with visceral arterial compromise on computerized tomographic (CT) imaging studies, we conducted a systematic review of cardiac surgical IABP patients with available CT scans to determine reasons, incidence, and clinical relevance of malposition. ...

Visceral artery aneurysms are rarely reported. They can occur in the context of a variety of underlying diseases. These aneurysms may coexist with non-visceral arterial aneurysms.Here we describe an 80-year-old man with concomitant superior mesenteric, celiac, renal, and aorto-bi-iliac aneurysms. The patient was a hypertensive and hyperlipidemic old man with history of transient ischemic attack...

Dunbar syndrome is caused by the compression of celiac artery median arcuate ligament (MAL) and diaphragmatic crura, presenting with abdominal pain. The treatment surgical, aim dissecting separating crura from axis, restoring blood flow in trunk. We propose use transesophageal echocardiography to measure peak systolic velocity trunk evaluate, real time, efficacy surgery during MAL resection. Tw...

CONTEXT The clinical benefits of distal pancreatectomy with en bloc celiac axis resection for locally advanced pancreatic body cancer remains controversial and, therefore, declared unresectable in most cases. Appleby first described extended distal pancreatectomy with celiac axis resection for locally advanced gastric cancer. CASE REPORT We report a case of a 65-year-old female who presented ...

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 feeding responses to Ent injected intra-arterially near the celiac artery, into the carotid artery, or intravenously in rats adapted to a high-fat diet. After near-celiac arterial injection there was an immediate dose-...

OBJECTIVE The purpose of this study was to report the effect of radical distal pancreatectomy with en bloc resection of the celiac artery, plexus, and ganglions for locally advanced cancer of the pancreatic body on intractable abdominal and/or back pain and to explore the histopathologic mechanism of this pain. PATIENTS Five patients with pancreatic body cancer involving the celiac and/or com...