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Radical antegrade modular pancreatosplenectomy for adenocarcinomaof the body of the pancreas in a patient with portal annular pancreas, aberrant hepatic artery, and absence of the celiac trunk: A case report

RATIONALE: Portal annular pancreas is a rare anatomic variation, where the uncinated process of the pancreas connects with the dorsal pancreas and the pancreas tissue encases the portal vein (PV), superior mesenteric vein (SMV) or splenic vein (SV). Malignancies are quite uncommon in the patients, w...

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Autores principales: Yuan, Hao, Wu, Pengfei, Chen, Jianmin, Lu, Zipeng, Chen, Lei, Wei, Jishu, Guo, Feng, Cai, Baobao, Yin, Jie, Xu, Dong, Jiang, Kuirong, Miao, Yi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer Health 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5728748/
https://www.ncbi.nlm.nih.gov/pubmed/29310347
http://dx.doi.org/10.1097/MD.0000000000008738
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author Yuan, Hao
Wu, Pengfei
Chen, Jianmin
Lu, Zipeng
Chen, Lei
Wei, Jishu
Guo, Feng
Cai, Baobao
Yin, Jie
Xu, Dong
Jiang, Kuirong
Miao, Yi
author_facet Yuan, Hao
Wu, Pengfei
Chen, Jianmin
Lu, Zipeng
Chen, Lei
Wei, Jishu
Guo, Feng
Cai, Baobao
Yin, Jie
Xu, Dong
Jiang, Kuirong
Miao, Yi
author_sort Yuan, Hao
collection PubMed
description RATIONALE: Portal annular pancreas is a rare anatomic variation, where the uncinated process of the pancreas connects with the dorsal pancreas and the pancreas tissue encases the portal vein (PV), superior mesenteric vein (SMV) or splenic vein (SV). Malignancies are quite uncommon in the patients, who have an annular pancreas especially portal annular pancreas. Ectopic common hepatic artery and absence of the celiac trunk (CT) are the other infrequent abnormalities. PATIENT CONCERNS: A 74-year-old man suffered from upper abdominal and back pain. DIAGNOSES AND INTERVENTIONS: Contrast enhanced computed tomography indicated a low-density mass in the body of the pancreas. Pathological report showed adenocarcinoma of the body of pancreas after radical antegrade modular pancreatosplenectomy (RAMPS). OUTCOMES: In the operation, we found the superior vein and portal vein was surrounded by the pancreatic tissue. The left gastric artery and splenic artery originated respectively from abdominal aorta, and celiac trunk was not viewed. In addition, the common hepatic artery was a branch from the superior mesenteric artery. LESSONS: In general, this is a novel clinical case of pancreatic carcinoma happening in the portal annular pancreas which was accompanied with aberrant hepatic artery and absence of the celiac trunk at the same time. Confronted with the pancreatic neoplasms, the possibility of coexistent annular pancreas and arterial variations should be considered.
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spelling pubmed-57287482017-12-20 Radical antegrade modular pancreatosplenectomy for adenocarcinomaof the body of the pancreas in a patient with portal annular pancreas, aberrant hepatic artery, and absence of the celiac trunk: A case report Yuan, Hao Wu, Pengfei Chen, Jianmin Lu, Zipeng Chen, Lei Wei, Jishu Guo, Feng Cai, Baobao Yin, Jie Xu, Dong Jiang, Kuirong Miao, Yi Medicine (Baltimore) 7100 RATIONALE: Portal annular pancreas is a rare anatomic variation, where the uncinated process of the pancreas connects with the dorsal pancreas and the pancreas tissue encases the portal vein (PV), superior mesenteric vein (SMV) or splenic vein (SV). Malignancies are quite uncommon in the patients, who have an annular pancreas especially portal annular pancreas. Ectopic common hepatic artery and absence of the celiac trunk (CT) are the other infrequent abnormalities. PATIENT CONCERNS: A 74-year-old man suffered from upper abdominal and back pain. DIAGNOSES AND INTERVENTIONS: Contrast enhanced computed tomography indicated a low-density mass in the body of the pancreas. Pathological report showed adenocarcinoma of the body of pancreas after radical antegrade modular pancreatosplenectomy (RAMPS). OUTCOMES: In the operation, we found the superior vein and portal vein was surrounded by the pancreatic tissue. The left gastric artery and splenic artery originated respectively from abdominal aorta, and celiac trunk was not viewed. In addition, the common hepatic artery was a branch from the superior mesenteric artery. LESSONS: In general, this is a novel clinical case of pancreatic carcinoma happening in the portal annular pancreas which was accompanied with aberrant hepatic artery and absence of the celiac trunk at the same time. Confronted with the pancreatic neoplasms, the possibility of coexistent annular pancreas and arterial variations should be considered. Wolters Kluwer Health 2017-12-01 /pmc/articles/PMC5728748/ /pubmed/29310347 http://dx.doi.org/10.1097/MD.0000000000008738 Text en Copyright © 2017 the Author(s). Published by Wolters Kluwer Health, Inc. http://creativecommons.org/licenses/by-nc/4.0 This is an open access article distributed under the terms of the Creative Commons Attribution-Non Commercial License 4.0 (CCBY-NC), where it is permissible to download, share, remix, transform, and buildup the work provided it is properly cited. The work cannot be used commercially without permission from the journal. http://creativecommons.org/licenses/by-nc/4.0
spellingShingle 7100
Yuan, Hao
Wu, Pengfei
Chen, Jianmin
Lu, Zipeng
Chen, Lei
Wei, Jishu
Guo, Feng
Cai, Baobao
Yin, Jie
Xu, Dong
Jiang, Kuirong
Miao, Yi
Radical antegrade modular pancreatosplenectomy for adenocarcinomaof the body of the pancreas in a patient with portal annular pancreas, aberrant hepatic artery, and absence of the celiac trunk: A case report
title Radical antegrade modular pancreatosplenectomy for adenocarcinomaof the body of the pancreas in a patient with portal annular pancreas, aberrant hepatic artery, and absence of the celiac trunk: A case report
title_full Radical antegrade modular pancreatosplenectomy for adenocarcinomaof the body of the pancreas in a patient with portal annular pancreas, aberrant hepatic artery, and absence of the celiac trunk: A case report
title_fullStr Radical antegrade modular pancreatosplenectomy for adenocarcinomaof the body of the pancreas in a patient with portal annular pancreas, aberrant hepatic artery, and absence of the celiac trunk: A case report
title_full_unstemmed Radical antegrade modular pancreatosplenectomy for adenocarcinomaof the body of the pancreas in a patient with portal annular pancreas, aberrant hepatic artery, and absence of the celiac trunk: A case report
title_short Radical antegrade modular pancreatosplenectomy for adenocarcinomaof the body of the pancreas in a patient with portal annular pancreas, aberrant hepatic artery, and absence of the celiac trunk: A case report
title_sort radical antegrade modular pancreatosplenectomy for adenocarcinomaof the body of the pancreas in a patient with portal annular pancreas, aberrant hepatic artery, and absence of the celiac trunk: a case report
topic 7100
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5728748/
https://www.ncbi.nlm.nih.gov/pubmed/29310347
http://dx.doi.org/10.1097/MD.0000000000008738
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