Pancreaticoduodenectomy: Secondary stenting of the celiac trunk after inefficient median arcuate ligament release and reoperation as an alternative to simultaneous hepatic artery reconstruction

Figure 2 Features of median arcuate ligament. Arterial phase of the axial computerized tomography (CT) scan (A), along with coronal and sagittal CT-scan reconstructions (B) showing severe stenosis of the celiac trunk from extrinsic compression by dense fibrous tissue (arrow) and poststenotic dilation of the proximal celiac trunk (arrowhead). SMA: Superior mesenteric artery; HA: Hepatic artery; PDA: Pancreaticoduodenal arcade; IPDA: Inferior pancreaticoduodenal artery; BS: Biliary stent.