PMC6348794_01
Case 1: a 66-year-old woman, CT scan showing a large amount of ascites and an aneurysm.
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A CT scan revealed a great volume of ascites and an aneurysm (Figure 1).
Case 1: the angioarchitectonic revealed the aneurysm of the inferior pancreaticoduodenal artery (IPDA; arrowhead) and stricture of a root of the celiac artery (arrows).
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The angioarchitectonic examination showed the aneurysm of the inferior pancreaticoduodenal artery (IPDA) and stricture of a root of the celiac artery (Figure 2).
Case 1: angiogram showing an aneurysm of the IPDA.
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We then performed angiography (Figure 3), which also showed the aneurysm of the IPDA.
PMC6348794_02
Case 2: the CT scan shows stricture of a root of the celiac artery by MAL (arrow).
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MAL syndrome in case 1 enabled us to diagnose the disease accurately in case 2. MAL syndrome was the cause of the aneurysm in this patient too (Figure 4).
The trocar placement for the laparoscopic surgery for case 2, a 75-year-old man.
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The points of the trocars were as follows: a 12 mm trocar at the navel for the camera, two 12 mm trocars at the right upper abdomen, and a 12 mm trocar and a 5 mm trocar at the left upper abdomen (Figure 5).