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J Belg Soc Radiol 2022 29;106(1):32. Epub 2022 Apr 29.

Ibn Sina Teaching hospital, MA.

Splenic infarction is an extremely rare presentation of median arcuate ligament syndrome that requires a good analysis of celiac axis on computed tomography angiography in other to make a proper diagnosis and management. Read More

EJVES Vasc Forum 2022 30;55:42-46. Epub 2022 Mar 30.

The Canberra Hospital, Department of Vascular Surgery, Garran, ACT, 2605, Australia.

Introduction: Pancreaticoduodenal artery (PDA) aneurysms represent a small portion of rare visceral artery aneurysms. Rupture of these aneurysms results in fatal haemorrhage in up to 50% of cases, necessitating prompt endovascular or open intervention. As highlighted by a recent retrospective review, median arcuate ligament (MAL) release is an important part of management when these aneurysms are diagnosed in conjunction with median arcuate ligament compression (MALC). Read More

Case Rep Vasc Med 2022 22;2022:3595603. Epub 2022 Apr 22.

Department of Surgery, University of the West Indies, St. Augustine Campus, Trinidad and Tobago West Indies.

The median arcuate ligament compression syndrome is a rare entity that occurs in 2 per 100,000 unselected individuals. We present a case where the median arcuate ligament compression syndrome was associated with an equally uncommon anatomic variation-a celiac-mesenteric trunk, which occurs in 0.42-2. Read More

Cureus 2022 Apr 18;14(4):e24251. Epub 2022 Apr 18.

General Surgery Department, Imam Abdulrahman Alfaisal Hospital, Riyadh, SAU.

Introduction Superior mesenteric artery syndrome (SMAS), also called mesenteric duodenal compression syndrome, Wilkie's syndrome, chronic duodenal ileus or cast syndrome, is a rare clinical condition defined as a compression of the third portion of the duodenum in between the SMA and abdominal aorta (AA), due to narrowing of the space between them. SMAS is primarily attributed to loss of the intervening mesenteric fat pad, leading to partial or complete duodenal obstruction. Its manifestations are complex and non-specific, including postprandial epigastric pain, nausea, vomiting, early satiety, weight loss and anorexia. Read More

Int J Surg Case Rep 2022 Apr 18;94:107088. Epub 2022 Apr 18.

Department of Surgery, Shinko Hospital, 1-4-47 Wakihama-cho, Chuo-ku, Kobe City, Hyogo 651-0072, Japan.

Introduction: Evaluation of anatomical variations is important in pancreatoduodenectomy (PD) because an arterial anomaly is a risk factor for morbidity. Herein, we report a rare case of PD for lower bile duct cancer in which celiac axis stenosis and a replaced common hepatic artery (rCHA) coexisted.

Presentation Of Case: An 84-year-old woman presented with epigastric pain. Read More