Case Report: Pancreaticoduodenectomy for Pancreatic Ductal Adenocarcinoma with a Rare Anomaly of Celiac Trunk Originating from Superior Mesenteric Artery

Enkhbold Ch^1, , Chinburen J¹, Amina O², Chinzorig M² and Tserendorj D¹

¹Department of Hepatobiliary Pancreatic Surgery, National Cancer Center, Ulaanbaatar, Mongolia

²School of Medicine, Mongolian National University of Medical Science, Ulaanbaatar, Mongolia

Cite this paper:
Enkhbold Ch, Chinburen J, Amina O, Chinzorig M and Tserendorj D. Case Report: Pancreaticoduodenectomy for Pancreatic Ductal Adenocarcinoma with a Rare Anomaly of Celiac Trunk Originating from Superior Mesenteric Artery. American Journal of Medical Case Reports. 2019; 7(2):29-32. doi: 10.12691/ajmcr-7-2-5

Abstract

Identifying the vascular anatomical variations of the operating region is essential in carrying out successful surgery, and decreasing the rate of both intraoperative and postoperative complications. Surgeons must keep in mind that arterial variation may be present in the vascular structures intraoperatively, even though it was not revealed in preoperative imaging. The present study report a case of a 51 year old woman who was diagnosed with pancreatic ductal adenocarcinoma (PDAC) with a rare variation of celiaco-mesenteric trunk originating at the level of L1. The patient underwent pancreaticoduodenectomy. The postoperative course was favorable and the patient was discharged on postoperative day 15.

Keywords:
pancreaticoduodenectomy celiaco-mesenteric trunk pancreatic ductal adenocarcinoma

This work is licensed under a Creative Commons Attribution 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/

References:

[1]	S H McEvoy, L P Lavelle, S M Hoare, A C O'Neill, F N Awan, D E Malone, E R Ryan, J W McCann, and E J Haffernan., "Pancreaticoduodenectomy: expected post-operative anatomy and complications," The British Institute of Radiology, 87 (1041) 20140116. Aug.2014.
[2]	Soon-Young Song, MD., Jin Wook Chung, MD., Yong Hu Yin, MD., Hwan Jung Jae, MD., Hyo-Cheol Kim, MD., Ung Bae Jeon, MD., Baik Hwan Cho, MD., Young Ho So, MD., and Jae Hyung Park, MD., “Celiac Axis and Common Hepatic Artery Variartions in 5002 patients,” Radiology, 255 (1). 278-288. Apr.2010.
[3]	Vandamme J.P.J., Bonte.J., “The Branches of Celiac Trunk,” Acta anatomica, 122 (2). 110-114. 1985.
[4]	Bergman R.A., Afifi A.K. and Miyauchi R., Anatomy Atlases an anatomy digital library, Curated by Ronald A. Bergan, 2017.
[5]	Matoba M., Tonami H., Kuginuki M., Yokota H., Takashima S. and Yamamoto L., “Comparison of high-resolution contrast- enhanced 3D MRA with digital substraction angiography in the evaluation of hepatic arterial anatomy,” Clinical radiology, 58 (6). 463-8. Jun.2003.
[6]	Ugurel M.S., Battal B., Bozlar U., Nural M.S., Tasar M., Ors F., Saglam M. and Karademir L., “Anatomical variations of hepatic arterial system, coeliac trunk and renal arteries: an analysis with multidetector CT angiography,” British journal of radiology, 83 (992). 661-7. Aug.2010.
[7]	Adachi B., Das Arteriensystem Der Japaner, 2. University of kyoto. 1928.
[8]	Maryam F., Mohammad M., Ali H., Fateme M. and Mohammed M.B.M., “Anatomical variation of celiac axis, superior mesenteric artery, and hepatic artery: Evaluation with multidetector CT angiography,” Journal of research in medical sciences, 21 (129). 1-5. Dec.2016.
[9]	Ahmed M., Osman MD., and Ahmed A., “Celiac trunk and hepatic artery variants: A retrospective preliminary MSCT report among Egyptian patients,” The Egyptian journal of Radiology and Nuclear medicine, 47 (4). 1451-1458. Dec.2016.
[10]	Cicekcibasi A.E., Uysal II., Seker M., Tuncer I., Buyukmumcu M. and Salbacak A., “A rare variation of coeliac trunk,” Ann Anat, 187 (4). 387-91. 2005.