10 September 2022
: Case report 
A 47-Year-Old Man with Advanced Distal Pancreatic Carcinoma and an Initial Partial Response to Chemotherapy Requiring Celiac Axis Reconstruction of the Common Hepatic Artery and Left Gastric Artery
Unusual or unexpected effect of treatment
Ayano Sakai1E, Takamichi Igarashi1E, Isaku Yoshioka1E, Kazuto Shibuya1E, Nana Kimura1E, Yuuko Tohmatsu1E, Toru Watanabe1E, Katsuhisa Hirano1E, Haruyoshi Tanaka
1E, Satoshi Onoda2E, Noriko Okuno3E, Takeru Hamashima3E, Johji Imura4E, Toshihiko Satake 2E, Tsutomu Fujii 1E*
DOI: 10.12659/AJCR.936840
Am J Case Rep 2022; 23:e936840
Figure 1. (A) Abdominal computed tomography (CT) at diagnosis. Abdominal CT showed a 40-mm hypovascular tumor in the pancreatic body. The tumor is abutment with the celiac artery (CA), common hepatic artery (CHA), and splenic artery (SPA). (B) Abdominal CT at diagnosis. The tumor is in contact with the CA, CHA, LGA, and SPA. There is no tumor encasement in the superior mesenteric artery (SMA). (C) Positron emission tomography-computed tomography (PET-CT) at diagnosis. This revealed increased metabolic activity in the pancreatic tumor.