Turner Keli M, Majekodunmi Kunmi, Manejwala Alif, Neschis David, Novak Zina, Boutros Cherif
Division of General and Oncologic Surgery, Department of Surgery, University of Maryland School of Medicine, Baltimore, MD, USA.
J Gastrointest Surg. 2014 Mar;18(3):638-40. doi: 10.1007/s11605-013-2445-5. Epub 2014 Jan 9.
Celiac axis stenosis caused by extrinsic compression by the median arcuate ligament (MAL) is present in up to 5% of patients undergoing pancreaticoduodenectomy. Failure to identify and manage MAL compression can lead to potentially devastating postoperative consequences that include frank liver necrosis and death. We report an incidental discovery of celiac axis stenosis by MAL in a patient prepared for pancreaticoduodenectomy. Image findings and operative management are discussed.
由正中弓状韧带（MAL）外部压迫引起的腹腔干狭窄在接受胰十二指肠切除术的患者中发生率高达5%。未能识别和处理MAL压迫可能导致潜在的灾难性术后后果，包括明显的肝坏死和死亡。我们报告了1例在准备接受胰十二指肠切除术的患者中偶然发现的由MAL导致的腹腔干狭窄。文中讨论了影像学表现和手术处理方法。
