case_images: PMC6348794_01
case_images: Case 1: a 66-year-old woman, CT scan showing a large amount of ascites and an aneurysm.
case_images: CRIS2019-1795653.001.jpg
case_images: PMC6348794_01_CRIS2019-1795653.001.jpg
case_images: fig1
case_images: A CT scan revealed a great volume of ascites and an aneurysm (Figure 1).
case_images: Case 1: the angioarchitectonic revealed the aneurysm of the inferior pancreaticoduodenal artery (IPDA; arrowhead) and stricture of a root of the celiac artery (arrows).
case_images: CRIS2019-1795653.002.jpg
case_images: PMC6348794_01_CRIS2019-1795653.002.jpg
case_images: fig2
case_images: The angioarchitectonic examination showed the aneurysm of the inferior pancreaticoduodenal artery (IPDA) and stricture of a root of the celiac artery (Figure 2).
case_images: Case 1: angiogram showing an aneurysm of the IPDA.
case_images: CRIS2019-1795653.003.jpg
case_images: PMC6348794_01_CRIS2019-1795653.003.jpg
case_images: fig3
case_images: We then performed angiography (Figure 3), which also showed the aneurysm of the IPDA.
case_images: PMC6348794_02
case_images: Case 2: the CT scan shows stricture of a root of the celiac artery by MAL (arrow).
case_images: CRIS2019-1795653.004.jpg
case_images: PMC6348794_02_CRIS2019-1795653.004.jpg
case_images: fig4
case_images: 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).
case_images: The trocar placement for the laparoscopic surgery for case 2, a 75-year-old man.
case_images: CRIS2019-1795653.005.jpg
case_images: PMC6348794_02_CRIS2019-1795653.005.jpg
case_images: fig5
case_images: 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).