{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,12]],"date-time":"2025-10-12T01:53:54Z","timestamp":1760234034898,"version":"build-2065373602"},"reference-count":11,"publisher":"MDPI AG","issue":"3","license":[{"start":{"date-parts":[[2021,3,17]],"date-time":"2021-03-17T00:00:00Z","timestamp":1615939200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Medicina"],"abstract":"<jats:p>The International Neuroblastoma Risk Group Staging System (INRGSS) is based on the age of patients and preoperative imaging, with attention paid to whether the primary tumor is affected by one or more of specific image-defined risk factors (IDRFs). This publication presents a 2.5-year-old boy with neuroblastoma who had an accidental ligation of the celiac trunk during tumor resection. The consequences of this complication were pancreatic and spleen ischemia and necrosis, ischemia, and perforation of the common bile duct, gallbladder, stomach, and duodenum. The aim of this publication was to highlight the great role of the radiologist in determining the indications for neuroblastoma tumor removal, especially with current vascular IDRFs, and to show how the radiologist\u2019s insightful approach can save the patient from irreversible complications.<\/jats:p>","DOI":"10.3390\/medicina57030279","type":"journal-article","created":{"date-parts":[[2021,3,17]],"date-time":"2021-03-17T11:48:22Z","timestamp":1615981702000},"page":"279","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["The Important Role of the Radiologist in Determining the Indications for the Surgical Treatment of Neuroblastoma with Vascular Image-Defined Risk Factors: A Case Report"],"prefix":"10.3390","volume":"57","author":[{"given":"Patrycja","family":"Sosnowska-Sienkiewicz","sequence":"first","affiliation":[{"name":"Department of Pediatric Surgery, Traumatology and Urology, Poznan University of Medical Sciences, Szpitalna Street 27\/33, 60-572 Poznan, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Przemys\u0142aw","family":"Ma\u0144kowski","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Traumatology and Urology, Poznan University of Medical Sciences, Szpitalna Street 27\/33, 60-572 Poznan, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anna","family":"Wojas","sequence":"additional","affiliation":[{"name":"Department of Pediatric Radiology, Karol Jonscher Hospital, Szpitalna Street 27\/33, 60-572 Poznan, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Katarzyna","family":"Jo\u0144czyk-Potoczna","sequence":"additional","affiliation":[{"name":"Department of Pediatric Radiology, Poznan University of Medical Sciences, Szpitalna Street 27\/33, 60-572 Poznan, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2332-2750","authenticated-orcid":false,"given":"Danuta","family":"Januszkiewicz-Lewandowska","sequence":"additional","affiliation":[{"name":"Department of Pediatric Oncology, Hematology and Transplantology, Poznan University of Medical Sciences, Szpitalna Street 27\/33, 60-572 Poznan, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2021,3,17]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"298","DOI":"10.1200\/JCO.2008.16.6876","article-title":"The International Neuroblastoma Risk Group (INRG) staging system: An INRG Task Force report","volume":"27","author":"Monclair","year":"2009","journal-title":"J. Clin. Oncol."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"S44","DOI":"10.1102\/1470-7330.2011.9008","article-title":"Imaging neuroblastoma: What the radiologist needs to know","volume":"11","author":"McCarville","year":"2011","journal-title":"Cancer Imaging"},{"key":"ref_3","first-page":"691","article-title":"Surgical Treatment of Neuroblastoma","volume":"19","author":"Barak","year":"2017","journal-title":"IMAJ"},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"375","DOI":"10.1007\/s00104-009-1699-7","article-title":"Acute intestinale Ischamie","volume":"80","author":"Debus","year":"2009","journal-title":"Der Chir."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"262","DOI":"10.58397\/ashkmdc.v22i4.142","article-title":"Detecting Anatomical Variations of Coeliac Trunk Branching Pattern in the Population of Karachi Using 3D Multidetector Computed Tomographic Angiography (MDCTA)","volume":"22","author":"Rosheena","year":"2017","journal-title":"Ann. Abbasi Shaheed Hosp. Karachi Med. Dent. Coll."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"8","DOI":"10.1016\/j.tcr.2017.10.002","article-title":"Blunt traumatic celiac artery avulsion managed with celiac artery ligation and open aorto-celiac bypass","volume":"11","author":"Kronick","year":"2017","journal-title":"Trauma Case Rep."},{"key":"ref_7","first-page":"1089","article-title":"Isolated Celiac Artery Injury Following Blunt Abdominal Trauma","volume":"1","author":"Maghraby","year":"2016","journal-title":"Ann. Clin. Case Rep."},{"key":"ref_8","first-page":"e13270","article-title":"Successful conservative treatment of acute traumatic occlusions of the celiac artery and superior mesenteric artery: A case report emphasizing the importance of the visceral collateral circulations","volume":"97","author":"Lim","year":"2018","journal-title":"Clin. 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