Pancreatoduodenectomy co-morbid with celiac axis compression syndrome: a report of three cases.
Celiac axis compression syndrome (CACS)
Gastroduodenal artery (GDA)
Median arcuate ligament syndrome (MALS)
Pancreatoduodenectomy (PD)
Journal
Surgical case reports
ISSN: 2198-7793
Titre abrégé: Surg Case Rep
Pays: Germany
ID NLM: 101662125
Informations de publication
Date de publication:
24 May 2020
24 May 2020
Historique:
received:
29
04
2020
accepted:
17
05
2020
entrez:
26
5
2020
pubmed:
26
5
2020
medline:
26
5
2020
Statut:
epublish
Résumé
Celiac axis compression syndrome (CACS) is a relatively rare disease. Because of the nature of the blood flow in the celiac region when a pancreatoduodenectomy (PD) is performed for CACS, the celiac region can become ischemic. The aim of this study is to report on the importance of pre-operative diagnosis of CACS in terms of the outcomes for patients post-operatively. In this study, three 3 cases of PD co-morbid with CACS are reported: one intra-operative diagnosis case and two pre-operative diagnosis cases. The one case, not diagnosed with CACS prior to the operation, had a hard post-operative course because of complication caused by ischemia of the celiac region compared with the two cases diagnosed prior to the operation, who had a good post-operative course because of pre-operative or intra-operative intervention. Post-operative complications due to CACS are preventable by pre-operative diagnosis and appropriate interventions.
Sections du résumé
BACKGROUND
BACKGROUND
Celiac axis compression syndrome (CACS) is a relatively rare disease. Because of the nature of the blood flow in the celiac region when a pancreatoduodenectomy (PD) is performed for CACS, the celiac region can become ischemic. The aim of this study is to report on the importance of pre-operative diagnosis of CACS in terms of the outcomes for patients post-operatively. In this study, three 3 cases of PD co-morbid with CACS are reported: one intra-operative diagnosis case and two pre-operative diagnosis cases.
CASE PRESENTATION
METHODS
The one case, not diagnosed with CACS prior to the operation, had a hard post-operative course because of complication caused by ischemia of the celiac region compared with the two cases diagnosed prior to the operation, who had a good post-operative course because of pre-operative or intra-operative intervention.
CONCLUSIONS
CONCLUSIONS
Post-operative complications due to CACS are preventable by pre-operative diagnosis and appropriate interventions.
Identifiants
pubmed: 32449014
doi: 10.1186/s40792-020-00878-x
pii: 10.1186/s40792-020-00878-x
pmc: PMC7246236
doi:
Types de publication
Journal Article
Langues
eng
Pagination
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