Prominent gastroduodenal artery: Endosonographic sign of celiac artery stenosis.
Celiac artery (CA) stenosis is a relatively common finding in patients undergoing pancreaticoduodenectomy (PD). In the presence of CA stenosis, arterial blood supply to the celiac territory is usually sustained from the superior mesenteric artery (SMA) through well-developed collaterals. In this paper, the authors report endosonographically identified prominent gastroduodenal artery as the sign of CA stenosis for the first time. Uncovering previously unidentified vascular abnormality, endoscopic ultrasound (EUS) has improved patient management. The patient had uneventful collateral preserving PD.
Department of Gastroenterology, Haydarpaşa Numune Training and Research Hospital, Istanbul, Turkey.
Can
C
Gonen
Department of General Surgery, Haydarpaşa Numune Training and Research Hospital, Istanbul, Turkey.
Ali
A
Sürmelioğlu
Department of General Surgery, Haydarpaşa Numune Training and Research Hospital, Istanbul, Turkey.
Metin
M
Tilki
Department of Radiology, Haydarpaşa Numune Training and Research Hospital, Istanbul, Turkey.
Gamze
G
Kiliçoğlu
Celiac artery (CA); collateral circulation; endoscopic ultrasound (EUS); pancreatic cancer; pancreaticoduodenectomy (PD); stenosis