[Compression of the celiac trunk by the diaphragmatic arcuate ligament during supramesocolonic surgery].
Coeliac stenosis induced by arcuate ligament compression is usually asymptomatic. Current caution is advised during a supramesocolonic surgical procedure in the case of a collateral arterial system due to coeliac stenosis. 11 cases of coeliac stenosis are described. 3 patients underwent duodenopancreatic resection, 8 patients had liver transplantation. 2 patients died after complications due to celiac, stenosis. These cases are described. The authors discuss the diagnostic and therapeutic approach.
Ducerf
C
C
Service de Chirurgie Générale Digestive et Transplantation Hépatique, Hôpital de la Croix-Rousse, Lyon.
Rode
A
A
De la Roche
E
E
Beck
F
F
Adham
M
M
Berthoux
N
N
Baulieux
J
J
D000328:Adult; D000368:Aged; D001027:Aortography; D002445:Celiac Artery; D003251:Constriction, Pathologic / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery; D003964:Diaphragm; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D008022:Ligaments; D016031:Liver Transplantation / Q000009:adverse effects*; D008297:Male; D008875:Middle Aged; D016577:Pancreaticoduodenectomy / Q000009:adverse effects*; D011167:Portacaval Shunt, Surgical; D011172:Portography; D013577:Syndrome