Pancreatoduodenectomy co-morbid with celiac axis compression syndrome: a report of three cases.

Surg Case Rep

The Department of Digestive and Transplant Surgery, Tokushima University, 3-18-15 Kuramoto-cho, Tokushima City, Tokushima, 770-8503, Japan.

Published: May 2020

Background: Celiac axis compression syndrome (CACS) is a relatively rare disease. Because of the nature of the blood flow in the celiac region when a pancreatoduodenectomy (PD) is performed for CACS, the celiac region can become ischemic. The aim of this study is to report on the importance of pre-operative diagnosis of CACS in terms of the outcomes for patients post-operatively. In this study, three 3 cases of PD co-morbid with CACS are reported: one intra-operative diagnosis case and two pre-operative diagnosis cases.

Case Presentation: The one case, not diagnosed with CACS prior to the operation, had a hard post-operative course because of complication caused by ischemia of the celiac region compared with the two cases diagnosed prior to the operation, who had a good post-operative course because of pre-operative or intra-operative intervention.

Conclusions: Post-operative complications due to CACS are preventable by pre-operative diagnosis and appropriate interventions.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7246236PMC
http://dx.doi.org/10.1186/s40792-020-00878-xDOI Listing

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