Celik, SebahattinRinge, Kristina I.Boru, Cristian E.Constantinica, VictorBektas, Hueseyin2025-05-102025-05-1020152042-881210.1093/jscr/rjv1612-s2.0-85027833741https://doi.org/10.1093/jscr/rjv161https://hdl.handle.net/20.500.14720/14997Celik, Sebahattin/0000-0003-0300-0113; Boru, Cristian Eugeniu/0000-0001-9171-4460An association of pancreatic cancer and median arcuate ligament syndrome (MALS) is a rare and challenging situation in terms of treatment. A 60-year-old man diagnosed with pancreatic cancer underwent laparotomy. A pancreaticoduodenectomy was planned, but during the resection part of the operation, a celiac artery stenosis was noticed. The patient was diagnosed with MALS causing almost total celiac artery occlusion, with no radiological solution. The patient was re-operated the next day, and an iliac artery allograft was used for aorta-proper hepatic artery reconstruction, concomitant with the total pancreaticoduodenectomy. Preoperative meticulous evaluation of vascular structures of the celiac trunk and its branches is important, especially in pancreatic surgery. A vascular allograft may be a lifesaving alternative when vascular reconstruction is necessary.eninfo:eu-repo/semantics/openAccessArticle12N/AQ326715412WOS:000372597200013