title: Image findings in celiac artery stenosis due to median arcuate ligament compression: a crucial diagnosis when planning for pancreaticoduodenectomy.
abstract: Celiac axis stenosis caused by extrinsic compression by the median arcuate ligament (MAL) is present in up to 5% of patients undergoing pancreaticoduodenectomy. Failure to identify and manage MAL compression can lead to potentially devastating postoperative consequences that include frank liver necrosis and death. We report an incidental discovery of celiac axis stenosis by MAL in a patient prepared for pancreaticoduodenectomy. Image findings and operative management are discussed.
authors.affiliation: Division of General and Oncologic Surgery, Department of Surgery, University of Maryland School of Medicine, Baltimore, MD, USA.
authors.forename: Keli M
authors.initials: KM
authors.lastname: Turner
authors.forename: Kunmi
authors.initials: K
authors.lastname: Majekodunmi
authors.forename: Alif
authors.initials: A
authors.lastname: Manejwala
authors.forename: David
authors.initials: D
authors.lastname: Neschis
authors.forename: Zina
authors.initials: Z
authors.lastname: Novak
authors.forename: Cherif
authors.initials: C
authors.lastname: Boutros
mesh_terms: D001157:Arterial Occlusive Diseases / Q000000981:diagnostic imaging* / Q000209:etiology; D002445:Celiac Artery / Q000000981:diagnostic imaging* / Q000473:pathology*; D003251:Constriction, Pathologic / Q000000981:diagnostic imaging / Q000209:etiology; D006801:Humans; D008022:Ligaments; D008297:Male; D008875:Middle Aged; D016577:Pancreaticoduodenectomy; D010347:Patient Care Planning; D014057:Tomography, X-Ray Computed