Authors: Soonawalla, Zahir¹; Ganeshan, Arul²; Friend, Peter³

Source: Annals of The Royal College of Surgeons of England, Volume 89, Number 1, January 2007 , pp. W15-W17(3)

Publisher: The Royal College of Surgeons of England

Abstract:

Pancreatic surgeons need to be aware of, and have the expertise available to deal with, unexpected vascular anomalies encountered during pancreatic resections. We present a patient with celiac artery occlusion that was encountered unexpectedly during pancreaticoduodenectomy. As a result of this anomaly, the celiac territory is dependent on retrograde flow via collaterals from the superior mesenteric artery. We discuss the method of identifying this situation, and of revascularising the celiac trunk to prevent ischaemia of upper abdominal viscera. We highlight the implications for surgical training.

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Keywords: PANCREATIC RESECTION; CELIAC ARTERY OCCLUSION; PANCREATICODUODENECTOMY

Document Type: Case report

DOI: http://dx.doi.org/10.1308/147870807X160344

Affiliations: 1: Nuffield Department of Surgery, John Radcliffe Hospital, Oxford, UK 2: Department of Radiology, John Radcliffe Hospital, Oxford, UK 3: Nuffield Department of Surgery and John Radcliffe Hospital, Oxford, UK

Publication date: 2007-01-01

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• The Annals of The Royal College of Surgeons of England is the official journal of the College and is published eight times a year in January, March, April, May, July, September, October and November. The main aim of the journal is to publish high quality, peer-reviewed papers that relate to all branches of surgery.
  
  The Annals also includes letters and comments, a regular technical section, NICE news, controversial topics, CORESS feedback, book reviews and the best trainee presentations from England and Wales. The editorial board is composed of members of the College Council and experts from across the surgical specialties.
  
  Archive issues of the Annals of The Royal College of Surgeons of England are available via the PubMed Central database
  
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