Supraceliac aortic cross-clamping to control bleeding from the celiac axis during pancreatic surgery: a case report.

ABSTRACT: BACKGROUND:Intraoperative bleeding from the celiac axis (CA) can occur during pancreatic surgery, and appropriate management is essential to avoid critical complications. Here, we have reported a case that was managed with supraceliac aortic cross-clamping (SAC) for arterial bleeding from the CA during pancreatic surgery. CASE PRESENTATION:A 70-year-old man was diagnosed with pancreatic cancer located in the pancreatic head and body. Preoperative computed tomography showed a stricture at the root of the CA, which may have been caused by a median arcuate ligament. Pancreaticoduodenectomy with division of the median arcuate ligament was scheduled. Uncontrollable bleeding from the root of the CA was observed during surgery. The bleeding was controlled by performing SAC, and a defect in the CA

SUBMITTER: Takano Y 

PROVIDER: S-EPMC8674386 | biostudies-literature | 2021 Dec

REPOSITORIES: biostudies-literature