Abstract
We report a patient who had pancreatic head cancer complicated by celiac axis compression. A 54-year-old man was found to have an increased PSA. Screening abdominal ultrasonography revealed dilatation of the main pancreatic duct and a solid mass in the pancreatic head. Angiography demonstrated compression of the proximal celiac axis and collateral blood flow to the hepatic artery via the dilated pancreatic arcade through the inferior pancreatico duodenal artery. Abdominal CT also revealed compression of the origin of the celiac axis. The patient was diagnosed as having a pancreatic head cancer with celiac axis compression by the median arcuate ligament. A pancreaticoduodenectomy was performed after division of the median arcuate ligament. During surgery, it was useful to monitor the hepatic artery flow using Doppler ultrasonography.
