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CASE REPORT
Year : 2016  |  Volume : 5  |  Issue : 5  |  Page : 339-341

Prominent gastroduodenal artery: Endosonographic sign of celiac artery stenosis


1 Department of Gastroenterology, Haydarpaşa Numune Training and Research Hospital, Istanbul, Turkey
2 Department of General Surgery, Haydarpaşa Numune Training and Research Hospital, Istanbul, Turkey
3 Department of Radiology, Haydarpaşa Numune Training and Research Hospital, Istanbul, Turkey

Correspondence Address:
Can Gonen
Department of Gastroenterology, Haydarpaşa Numune Training and Research Hospital, Tibbiye Caddesi, No: 40, Üsküdar, Istanbul - 34668
Turkey
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2303-9027.191674

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Celiac artery (CA) stenosis is a relatively common finding in patients undergoing pancreaticoduodenectomy (PD). In the presence of CA stenosis, arterial blood supply to the celiac territory is usually sustained from the superior mesenteric artery (SMA) through well-developed collaterals. In this paper, the authors report endosonographically identified prominent gastroduodenal artery as the sign of CA stenosis for the first time. Uncovering previously unidentified vascular abnormality, endoscopic ultrasound (EUS) has improved patient management. The patient had uneventful collateral preserving PD.


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