Background: Celiac axis compression syndrome (CACS) is a relatively rare disease. Because of the nature of the blood flow in the celiac region when a pancreatoduodenectomy (PD) is performed for CACS, the celiac region can become ischemic. The aim of this study is to report on the importance of pre-operative diagnosis of CACS in terms of the outcomes for patients post-operatively. In this study, three 3 cases of PD co-morbid with CACS are reported: one intra-operative diagnosis case and two pre-operative diagnosis cases.
Case presentation: The one case, not diagnosed with CACS prior to the operation, had a hard post-operative course because of complication caused by ischemia of the celiac region compared with the two cases diagnosed prior to the operation, who had a good post-operative course because of pre-operative or intra-operative intervention.
Conclusions: Post-operative complications due to CACS are preventable by pre-operative diagnosis and appropriate interventions.
Keywords: Celiac axis compression syndrome (CACS); Gastroduodenal artery (GDA); Median arcuate ligament syndrome (MALS); Pancreatoduodenectomy (PD).