Extensive multiarterial resection attending total duodenopancreatectomy and adrenalectomy for MEN-1-associated neuroendocrine carcinomas

Figure 3 Three-dimensional computed tomography angiography after omission of renal artery image. А: Hypervascular tumors of pancreatic head and body [pancreatic neuroendocrine tumors (PNTs)], hypervascular right adrenal tumor (tail tumor not shown), right adrenal artery originating from celiac trunk (CT); B: Celiaco-mesenterial arterial architecture found, common hepatic artery and superior mesenteric artery arising from hepatomesenteric trunk (Michels, type IX). GDA: Gastroduodenal artery; LHA: Left hepatic artery; RHA: Right hepatic artery; SMA: Superior mesenteric artery; CHA: Common hepatic artery; SA: Splenic artery; HMT: Hepato mesenteric trunk. Yellow segments indicate lines of arterial resections.