A Case Report of Celiac Axis Compression Syndrome Combined with Gastric Cancer -Diagnosis by Doppler Ultrasonography-

Masashi Narita, Kazuyasu Nakao, Masaaki Nakahara, Katsuaki Maeda, Nobuo Ogino, Toshirou Nishida, Satoru Miyazaki, Takashi Emoto, Shohei Maeda, Seika Kuroda, Masahiko Tsujimoto*

Department of Surgery and Department of Pathology*, Osaka Police Hospital

We report a 50-year-old man with gastric cancer and celiac axis compression syndrome (CACS) which was diagnosed by preoperative ultrasonography. The patient had suffered from pain once or twice a month since his boyhood. He was admitted to our hospital because of dysphagia, and endoscopic examination revealed cancer of the cardia. Preoperative ultrasonography showed stenosis of celiac origin and hepatofugal blood flow of the common hepatic artery. Total gastrectomy, splenectomy and division of the median arcuate ligsament were performed. Intraoperative electromagnetic flowmetry showed an increase in the flow of the common hepatic artery from 40 ml/min to 115 ml/min after decompression of the celiac artery. The abdominal pain disappeared after surgery, and postoperative ultrasonography revealed hepatopetal blood flow of the common hepatic artery. Thus, Doppler ultrasonography is useful in a noninvasive diagnosis of CACS.

Key words
celiac axis compression syndrome, ultrasonography, Doppler ultrasonography

Reprint requests
Masashi Narita Department of Surgery, Osaka Police Hospital
10-31 Kitayama-cho, Tennoji-ku, Osaka, 543 JAPAN

Accepted
September 14, 1994

To read the PDF file you will need Abobe Reader installed on your computer.