Usefulness of multi-detector row computed tomography for accurate preoperative assessment of pancreatic adenocarcinoma: report of a case
Maeda, H.; Okabayashi, T.; Kobayashi, M.; Morishita, S.; Nishimori, I.; Ito, S.; Sugimoto, T.; Akimori, T.; Onishi, S.; Araki, K.
West African Journal of Medicine 25(3): 242-245
2006
ISSN/ISBN: 0189-160X PMID: 17191428 Document Number: 599315
A 74-year-old female underwent surgical treatment for adenocarcinoma of the pancreatic head. Preoperative multi-detector row computed tomography (MD-CT) demonstrated tumor invasion into the accessory right colic vein and the branch of the middle colic artery (MCA), which was not detected by digital subtraction angiography. MD-CT showed anatomical variants in the left hepatic artery arising from the left gastric artery, and the right posterior hepatic artery arising from the superior mesenteric artery. Three-dimensional reconstruction CT generated a clear picture of the anatomy of the region concerned, which is essential for a safe operation. The MD-CT findings were highly consistent with the intraoperative findings. We have demonstrated that MD-CT is an important and highly accurate modality for pancreatic surgery.