A CASE OF HEPATOCELLULAR CARCINOMA WITH CELIAC ARTERY COMPRESSION SYNDROME

• Published in: Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association) Vol. 62; no. 11; pp. 2758 - 2762
• Main Authors: YAMADA, Takuya, ITAKURA, Yuka, ITO, Hideo, SUMI, Yasuhiro, YOSHIDA, Naoyasu, OZEKI, Yutaka
• Format: Journal Article
• Language: English
• Published: Japan Surgical Association 25.11.2001
• ISSN: 1345-2843; 1882-5133
• DOI: 10.3919/jjsa.62.2758

A 62-year-old man was admitted to the hospital because of upper abdominal pain. Abdominal ultrasonography and an abdominal CT scan revealed a hepatic tumor 7cm in diameter in the liver S8. In addition, an abdominal angiography showed lateral stricture like compression at the beginning of celiac artery and a dilatation of the pancreatic arcade artery. Hepatocellular carcinoma with celiac artery compression syndrome due to median arcuate ligament was diagnosed. Dissection of the median arcuate ligament and a subsegmentectomy of liver S8 were performed. Histopathological diagnosis was moderately differentiated hepatocellular carcinoma. Angiography after the operation disclosed that the stricture of celiac artery was improved, blood flow in the common hepatic artery and gastroduodenal artery became anterograde, and the dilatation of pancreatoduodenal arcade disappeared. We report the case, because to relieve the compression to the beginning of celiac artery with dissection of median arcuate ligament, which is a relatively easy procedure, is important, in cases in which TAE may be required postoperatively.