The diagnosis of MALS is one of exclusion, as many healthy patients demonstrate some degree of celiac artery compression in the absence of symptoms.
12.
Thus it cannot be safely ligated in a living person, and obstruction of the celiac artery will lead to necrosis of the structures it supplies.
13.
The celiac artery is an essential source of blood, since the interconnections with the other major arteries of the gut are not sufficient to sustain adequate perfusion.
14.
Another hypothesizes that there is compression not only of the celiac artery but also of the celiac ganglia, and that pain results from compression of the latter.
15.
The hook-shaped contour of the celiac artery is characteristic of the anatomy in MALS and helps distinguish it from other causes of celiac artery stenosis such as atherosclerosis.
16.
The hook-shaped contour of the celiac artery is characteristic of the anatomy in MALS and helps distinguish it from other causes of celiac artery stenosis such as atherosclerosis.
17.
A laparoscopic approach may also be used to achieve celiac artery decompression; however, should the celiac artery require revascularization, the procedure would require conversion to an open approach.
18.
A laparoscopic approach may also be used to achieve celiac artery decompression; however, should the celiac artery require revascularization, the procedure would require conversion to an open approach.
19.
The celiac artery supplies the liver, stomach, spleen and the upper 1 / 3 of the duodenum ( to the sphincter of Oddi ) and the pancreas with oxygenated blood.
20.
They may arise separately from the front of the aorta, immediately above the celiac artery, or by a common trunk, which may spring either from the aorta or from the celiac artery.