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Unexpected finding of arc of Buhler with celiac artery stenosis during workup for a suspected pancreatic lesion

Knowledge about normal and pathological anatomical variants is a key point for all surgeons to perform safe procedures and manage unexpected findings. One example of this is vascular anomalies involving the celiac and superior mesenteric arteries (CA and SMA) and their anastomoses. During a routine...

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Autores principales: Padar, Maria, Rieseberg, Amie, Ratnayake, Sujith
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10049793/
https://www.ncbi.nlm.nih.gov/pubmed/36998258
http://dx.doi.org/10.1093/jscr/rjad178
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author Padar, Maria
Rieseberg, Amie
Ratnayake, Sujith
author_facet Padar, Maria
Rieseberg, Amie
Ratnayake, Sujith
author_sort Padar, Maria
collection PubMed
description Knowledge about normal and pathological anatomical variants is a key point for all surgeons to perform safe procedures and manage unexpected findings. One example of this is vascular anomalies involving the celiac and superior mesenteric arteries (CA and SMA) and their anastomoses. During a routine workup of a suspected calcified pancreatic lesion, an asymptomatic arc of Buhler was found, connecting the CA and SMA, with 90% stenosis of the celiac trunk. This embryological variant, despite being a rare occurrence, has significance in various surgical procedures, including pancreatoduodenectomy, liver transplantation and interventional radiological procedures, such as gastroduodenal artery ligation and embolisation.
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spelling pubmed-100497932023-03-29 Unexpected finding of arc of Buhler with celiac artery stenosis during workup for a suspected pancreatic lesion Padar, Maria Rieseberg, Amie Ratnayake, Sujith J Surg Case Rep Case Report Knowledge about normal and pathological anatomical variants is a key point for all surgeons to perform safe procedures and manage unexpected findings. One example of this is vascular anomalies involving the celiac and superior mesenteric arteries (CA and SMA) and their anastomoses. During a routine workup of a suspected calcified pancreatic lesion, an asymptomatic arc of Buhler was found, connecting the CA and SMA, with 90% stenosis of the celiac trunk. This embryological variant, despite being a rare occurrence, has significance in various surgical procedures, including pancreatoduodenectomy, liver transplantation and interventional radiological procedures, such as gastroduodenal artery ligation and embolisation. Oxford University Press 2023-03-28 /pmc/articles/PMC10049793/ /pubmed/36998258 http://dx.doi.org/10.1093/jscr/rjad178 Text en Published by Oxford University Press and JSCR Publishing Ltd. © The Author(s) 2023. https://creativecommons.org/licenses/by/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Padar, Maria
Rieseberg, Amie
Ratnayake, Sujith
Unexpected finding of arc of Buhler with celiac artery stenosis during workup for a suspected pancreatic lesion
title Unexpected finding of arc of Buhler with celiac artery stenosis during workup for a suspected pancreatic lesion
title_full Unexpected finding of arc of Buhler with celiac artery stenosis during workup for a suspected pancreatic lesion
title_fullStr Unexpected finding of arc of Buhler with celiac artery stenosis during workup for a suspected pancreatic lesion
title_full_unstemmed Unexpected finding of arc of Buhler with celiac artery stenosis during workup for a suspected pancreatic lesion
title_short Unexpected finding of arc of Buhler with celiac artery stenosis during workup for a suspected pancreatic lesion
title_sort unexpected finding of arc of buhler with celiac artery stenosis during workup for a suspected pancreatic lesion
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10049793/
https://www.ncbi.nlm.nih.gov/pubmed/36998258
http://dx.doi.org/10.1093/jscr/rjad178
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