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Surgical Case Reports
Fig. 3 | Surgical Case Reports

Fig. 3

From: Arterial communication around the pancreatic tail enabled division of the gastroduodenal artery during pancreaticoduodenectomy in patient with complete celiac artery occlusion: a case report

Fig. 3

Serial axial view and three-dimensional reconstruction of peri-pancreatic arterial anastomoses on the preoperative MDCT. a Serial axial view of the preoperative MDCT. Complicated arterial anastomoses from the SMA system to the CA system were detected. Images were shown from cranial to caudal section in the order from 1 to 4. b Three-dimensional reconstruction of the pancreas and artery (left) and the artery alone (right) using the preoperative MDCT. Well-developed anastomoses between the SMA and CHA through GDA, including the ASPDA (1), PSPDA (2), AIPDA (3), and PIPDA (4), were clearly detected. In addition, one well-developed anastomosis between SMA and SPA through DPA was also identified (5, arrow). c The remaining anastomosis and arterial flow from the SMA to the CHA through the DPA after division of the GDA during PD. AIPDA, anterior inferior pancreaticoduodenal artery; ASPDA, anterior superior pancreaticoduodenal artery; CA, celiac artery; DPA, dorsal pancreatic artery; GDA, gastroduodenal artery; MDCT, multi-detector computed tomography; PD, pancreaticoduodenectomy; PIPDA, posterior inferior pancreaticoduodenal artery; PSPDA, posterior superior pancreaticoduodenal artery; SMA, superior mesenteric artery; SPA, splenic artery

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