title: A case of pancreatic cancer with concomitant median arcuate ligament syndrome treated successfully using an allograft arterial transposition.
abstract: An association of pancreatic cancer and median arcuate ligament syndrome (MALS) is a rare and challenging situation in terms of treatment. A 60-year-old man diagnosed with pancreatic cancer underwent laparotomy. A pancreaticoduodenectomy was planned, but during the resection part of the operation, a celiac artery stenosis was noticed. The patient was diagnosed with MALS causing almost total celiac artery occlusion, with no radiological solution. The patient was re-operated the next day, and an iliac artery allograft was used for aorta-proper hepatic artery reconstruction, concomitant with the total pancreaticoduodenectomy. Preoperative meticulous evaluation of vascular structures of the celiac trunk and its branches is important, especially in pancreatic surgery. A vascular allograft may be a lifesaving alternative when vascular reconstruction is necessary.
authors.affiliation: Department of General Surgery, Yüzüncü Yıl University, Van, Turkey drsebahattincelik@hotmail.com scelik@yyu.edu.tr.
authors.forename: Sebahattin
authors.initials: S
authors.lastname: Celik
authors.affiliation: Department of Radiology, Medizinische Hochschule Hannover, Hannover, Germany.
authors.forename: Kristina I
authors.initials: KI
authors.lastname: Ringe
authors.affiliation: Department of General Surgery, Clinical Hospital 'Sf. Maria', Bucharest, Romani.
authors.forename: Cristian E
authors.initials: CE
authors.lastname: Boru
authors.affiliation: Department of General Surgery, Clinical Hospital 'Sf. Maria', Bucharest, Romani.
authors.forename: Victor
authors.initials: V
authors.lastname: Constantinica
authors.affiliation: Department of General Surgery, Medizinische Hochschule Hannover, Hannover, Germany.
authors.forename: Hüseyin
authors.initials: H
authors.lastname: Bektas