Authors :
Dr. Pooja K. Mehtry; Dr. Rajat Bajaj; Dr. Kavya Devangad
Volume/Issue :
Volume 10 - 2025, Issue 9 - September
Google Scholar :
https://tinyurl.com/yf3db4x9
Scribd :
https://tinyurl.com/bdnwwsy
DOI :
https://doi.org/10.38124/ijisrt/25sep347
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Abstract :
This case report describes a unique case of chronic pancreatitis who presented to us with pancreatic cancer. The
patient also had a rare presentation of three-vessel occlusion involving origins of the celiac trunk, superior mesenteric artery,
and inferior mesenteric artery. However multiple unusual and rare collaterals were seen taking over the abdominal
circulation with no ischemic changes in concerned organs. Such a phenomenon is rare and only one case with triple vessel
occlusion has been described in the literature. However triple vessel involvement in the setting of pancreatic disease has not
been reported to our best knowledge. Information about these rare collaterals is important for the management of hepatic
tumors, pancreaticobiliary surgery, and liver transplantation.
Keywords :
Collaterals, Mesenteric, Ischemia, Pancreatitis.
References :
- Walker TG. Mesenteric vasculature and collateral pathways. Semin Intervent Radiol. 2009 Sep;26(3):167-74. doi: 10.1055/s-0029-1225663. PMID: 21326561; PMCID: PMC3036491
- Arazińska, A., Polguj, M., Wojciechowski, A., Trębiński, Ł. and Stefańczyk, L. (2016), Median arcuate ligament syndrome: Predictor of ischemic complications?. Clin. Anat., 29: 1025-1030. https://doi.org/10.1002/ca.22773
- Al-Azzazy MZ, Hasan DI, El Sherbeni ME, Gameel AM. Multidetector CT and CT angiography in mesenteric ischemia. Egypt J Radiol Nucl Med. 2012;43(3):337-45. doi:10.1016/j.ejrnm.2012.05.001
- Van de Loo - van Dijk L. Chronic Mesenteric Ischemia in the Picture : new diagnostic techniques and treatment modalities [Internet]. 2020. Available from: http://hdl.handle.net/1765/124018
- Applied vascular anatomy of the colon and rectum: Clinical implications for the surgical oncologist. Surg Oncol. 2006;15(4):243-55. doi:10.1016/j.suronc.2007.03.00
- Walker TG. Mesenteric vasculature and collateral pathways. Semin Intervent Radiol. 2009;26(3):167-74. doi:10.1055/s-0029-1225663
- Sakorafas GH, Zouros E, Peros G. Applied vascular anatomy of the colon and rectum: clinical implications for the surgical oncologist. Surg Oncol. 2006;15(4):243-55. doi:10.1016/j.suronc.2007.03.002
This case report describes a unique case of chronic pancreatitis who presented to us with pancreatic cancer. The
patient also had a rare presentation of three-vessel occlusion involving origins of the celiac trunk, superior mesenteric artery,
and inferior mesenteric artery. However multiple unusual and rare collaterals were seen taking over the abdominal
circulation with no ischemic changes in concerned organs. Such a phenomenon is rare and only one case with triple vessel
occlusion has been described in the literature. However triple vessel involvement in the setting of pancreatic disease has not
been reported to our best knowledge. Information about these rare collaterals is important for the management of hepatic
tumors, pancreaticobiliary surgery, and liver transplantation.
Keywords :
Collaterals, Mesenteric, Ischemia, Pancreatitis.