35 results on '"celiacomesenteric trunk"'
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2. Use of selective visceral angiography in surgical strategy planning for celiac artery aneurysm in the celiacomesenteric trunk
- Author
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Takasumi Goto, Hironobu Fujimura, Takashi Shintani, Takashi Shibuya, and Shigeru Miyagawa
- Subjects
Celiac artery aneurysm ,Celiacomesenteric trunk ,Collateral circulation ,Selective visceral angiography ,Surgery ,RD1-811 ,Anesthesiology ,RD78.3-87.3 - Abstract
Abstract Background The celiacomesenteric trunk (CMT) is a common duct of the celiac artery (CA) and the superior mesenteric artery originating from the aorta, which is an uncommon anatomical variant of visceral artery circulation. Because of the variety of visceral circulation in those with CMT, the visceral circulation associated with each branch should be evaluated prior to surgical treatment of visceral artery aneurysm in the CMT. Case presentation A 64-year-old woman was diagnosed with a CA aneurysm in the CMT. Aneurysmectomy of the aneurysm was performed successfully. On preoperative selective visceral angiography, the CA was seen to bifurcate into the common hepatic and splenic artery. The left gastric artery was directly isolated from the aorta and perfused to the common hepatic and splenic artery through collateral circulation. These findings showed that celiac artery embolization is anatomically feasible, even in cases of celiac artery aneurysm rupture. Conclusions Selective visceral angiography can contribute to surgical strategy planning for CA aneurysm with CMT. more...
- Published
- 2024
- Full Text
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3. Use of selective visceral angiography in surgical strategy planning for celiac artery aneurysm in the celiacomesenteric trunk
- Author
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Goto, Takasumi, Fujimura, Hironobu, Shintani, Takashi, Shibuya, Takashi, and Miyagawa, Shigeru
- Published
- 2024
- Full Text
- View/download PDF
4. Celiac plexus neurolysis in pancreatic neoplasm with celiacomesenteric trunk: a case report
- Author
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Sounak Paul, Suparna Mazumder, Sandip Swarup Mandal, Bhaveshkumar Thakkar Dhaval, and Prachi Kukreja
- Subjects
Celiac plexus neurolysis ,Celiacomesenteric trunk ,Hydrodissection ,Carcinoma pancreas ,Pain palliation ,Medical physics. Medical radiology. Nuclear medicine ,R895-920 - Abstract
Abstract Background Celiac plexus neurolysis is an effective mode of long-term palliation of somatic pain in inoperable upper gastro-intestinal neoplasm. CT guidance is the most accepted method of localising the tip of the needle, through which, the neurolytic agent, commonly Absolute Alcohol, is introduced along the celiac ganglion. Three dimensional assessment of the retroperitoneal anatomy avoids injury to adjacent viscera and vascular structures. Para-aortic needle tip position between the origins of celiac and superior mesenteric arteries is an accepted position to inject neurolytic agent. We report a case of successful celiac plexus neurolysis in a patient with a celiacomesenteric trunk. Till date no such case has been reported, primarily due to the Low incidence of celiacomesenteric trunk. Case presentation A 63-year-old man developed progressive icterus and severe abdominal pain over 3 months. The pain severity was 6/10. An Ultrasonography and contrast enhanced CT of the abdomen revealed inoperable carcinoma of head of pancreas and a celiacomesenteric trunk. The pancreatic mass extended along the right lateral border of the celiacomesenteric trunk, not extending upto the aorta. Considering the severity of pain, poor compliance to opioid pain medication, and a possibility of early tumour extension upto the aortic margin, celiac plexus neurolysis was considered. The procedure was performed under CT guidance and local anaesthesia, using a mixture of absolute alcohol, Bupivacaine and diluted iodinated contrast. Bilateral paravertebral antecrural access was performed, using 22 gauge Chiba needles, after localisation on preprocedural CT-scan. On the left, hydrodissection was performed using normal saline, to displace the left renal parenchyma from the trajectory of the needle to be used for neurolysis. The patient’s pain visual analogue scale score reduced to 0/10, immediately after the procedure. He had a post procedural hypotension, managed conservatively by complete bed rest for 1 day and intravenous fluid administration. Conclusions Celiac plexus neurolysis can safely be done in aberrant upper abdominal vascular anatomy, under CT guidance and local anaesthesia. To avoid periprocedural complications, hydrodissection may be effectively used to displace normal anatomical structures from the trajectory of the access needle, through which a mixture of absolute alcohol and local anaesthetic may be delivered. more...
- Published
- 2023
- Full Text
- View/download PDF
5. Successful endovascular treatment of acute mesenteric and hepatic ischemia in patient with celiomesenteric trunk occlusion
- Author
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Amber Ritenour, MD, FACS, RPVI and Albeir Mousa, MD, FACS, DFSVS, CWS, MBA, MPH, RPVI
- Subjects
Celiacomesenteric trunk ,Celiomesenteric trunk ,Mesenteric ischemia ,Replaced common hepatic artery ,Surgery ,RD1-811 ,Diseases of the circulatory (Cardiovascular) system ,RC666-701 - Abstract
Acute occlusion of celiomesenteric trunk variants such as a replaced common hepatic artery origin from a superior mesenteric artery can be catastrophic and requires immediate attention to reverse simultaneous mesenteric and hepatic ischemia and prevent death. We report the case of a 73-year-old woman with acute occlusion of her celiomesenteric trunk and proximal superior mesenteric artery who underwent successful endovascular repair with stent graft via brachial access. In the present case report, we describe a surgically relevant classification system of celiomesenteric trunk variants, highlight the feasibility of endovascular intervention in this uncommon scenario, and describe our technique. more...
- Published
- 2023
- Full Text
- View/download PDF
6. Celiac plexus neurolysis in pancreatic neoplasm with celiacomesenteric trunk: a case report.
- Author
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Paul, Sounak, Mazumder, Suparna, Mandal, Sandip Swarup, Thakkar Dhaval, Bhaveshkumar, and Kukreja, Prachi
- Abstract
Background: Celiac plexus neurolysis is an effective mode of long-term palliation of somatic pain in inoperable upper gastro-intestinal neoplasm. CT guidance is the most accepted method of localising the tip of the needle, through which, the neurolytic agent, commonly Absolute Alcohol, is introduced along the celiac ganglion. Three dimensional assessment of the retroperitoneal anatomy avoids injury to adjacent viscera and vascular structures. Para-aortic needle tip position between the origins of celiac and superior mesenteric arteries is an accepted position to inject neurolytic agent. We report a case of successful celiac plexus neurolysis in a patient with a celiacomesenteric trunk. Till date no such case has been reported, primarily due to the Low incidence of celiacomesenteric trunk. Case presentation: A 63-year-old man developed progressive icterus and severe abdominal pain over 3 months. The pain severity was 6/10. An Ultrasonography and contrast enhanced CT of the abdomen revealed inoperable carcinoma of head of pancreas and a celiacomesenteric trunk. The pancreatic mass extended along the right lateral border of the celiacomesenteric trunk, not extending upto the aorta. Considering the severity of pain, poor compliance to opioid pain medication, and a possibility of early tumour extension upto the aortic margin, celiac plexus neurolysis was considered. The procedure was performed under CT guidance and local anaesthesia, using a mixture of absolute alcohol, Bupivacaine and diluted iodinated contrast. Bilateral paravertebral antecrural access was performed, using 22 gauge Chiba needles, after localisation on preprocedural CT-scan. On the left, hydrodissection was performed using normal saline, to displace the left renal parenchyma from the trajectory of the needle to be used for neurolysis. The patient's pain visual analogue scale score reduced to 0/10, immediately after the procedure. He had a post procedural hypotension, managed conservatively by complete bed rest for 1 day and intravenous fluid administration. Conclusions: Celiac plexus neurolysis can safely be done in aberrant upper abdominal vascular anatomy, under CT guidance and local anaesthesia. To avoid periprocedural complications, hydrodissection may be effectively used to displace normal anatomical structures from the trajectory of the access needle, through which a mixture of absolute alcohol and local anaesthetic may be delivered. [ABSTRACT FROM AUTHOR] more...
- Published
- 2023
- Full Text
- View/download PDF
7. Asymptomatic stenosis of a celiacomesenteric trunk
- Author
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Cheryne Hammoutene, MD, Carole Durot, MD, Olivier Bouché, MD, PhD, Reza Kianmanesh, MD, PhD, and Rami Rhaiem, MD, PhD student
- Subjects
Celiacomesenteric trunk ,Riolan arcade ,Arterial anastomoses ,Arterial variation ,Pancreatic cancer ,Medical physics. Medical radiology. Nuclear medicine ,R895-920 - Abstract
Celiacomesenteric trunk is a rare variant of celiac artery anatomical variations. Stenosis of celiacomesenteric trunk is a severe usually symptomatic condition which might jeopardize the arterial supply of both supramesocolic organs and the midgut. It was diagnosed in a 79-year-old male during the preoperative workup for a pancreatic adenocarcinoma. Highly developed arterial anastomotic arcades, and mainly Riolan arcade, allowed to bypass this stenosis and to avoid digestive ischemia. Arterial anastomotic arcades are of paramount interest to ensure sufficient supply to the corresponding organs and must be thoroughly evaluated before planned surgery to avoid postoperative ischemia. more...
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- 2022
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8. Co-Existence of An Unusual Branching Pattern of Celiacomesenteric Trunk With Complete Common Mesentery in a 48-Year-Old Man: A Case Report.
- Author
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Harrabi, Fathia, Jabeur, Methnani, Houssem, Ammar, Abdelkader, Mizouni, Mehdi, Ben Latifa, Mohamed Amine, Saiid, Mohamed, Ben Mabrouk, and Ali, Ben Ali
- Subjects
MESENTERY ,MESENTERIC artery ,ANATOMICAL variation ,COMPUTED tomography ,SMALL intestine ,IRRITABLE colon - Abstract
Celiacomesenteric trunk (CMT) refers to the common origin of celiac trunk and superior mesenteric artery which is a very rare anatomical variation. CMT is incidentally diagnosed during angiography or abdominal computed tomography scanning. The diagnosis of CMT may inform surgical practice and prevent damage during invasive radiologic procedures, lowering thus the rate of iatrogenic errors. Complete common mesentery is in its turn a rarer congenital anomaly that arises from an abnormal rotation of primitive small intestine during embryonic development. We report a case of a 48-year-old man, suffering from chronic abdominal pain, and postprandial discomfort. The patient underwent an abdominal contrast-enhanced computed tomography that detected a CMT associated with common complete mesentery. According to our review of bibliography, this is the first case report to simultaneously report both congenital anomalies (CMT and common complete mesentery). Furthermore, the CMT described here has not been described in previous classifications and represent a novel anatomical variation of CMT. [ABSTRACT FROM AUTHOR] more...
- Published
- 2022
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9. A Hepatogastrophrenic Trunk, Celiacomesenteric Trunk, and a Middle Mesenteric Artery in a 68-Year-Old White Male Donor.
- Author
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Sheridan, Ariana, Reynolds, Elizabeth, Maynes, Elizabeth, Wind, Gary, Leighton, Maria Ximena, and Granite, Guinevere
- Subjects
- *
MESENTERIC artery , *MALES , *LITERATURE reviews - Abstract
A detailed understanding of the enteric vascular supply is of great importance for pre-operative planning. In the case of this 68-year-old white male donor, the following variations were observed: a hepatogastrophrenic trunk, a celiacomesenteric trunk, and a middle mesenteric artery. Literature review was conducted to understand the frequency and clinical significance of these variations. [ABSTRACT FROM AUTHOR] more...
- Published
- 2022
- Full Text
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10. Successful endovascular treatment of chronic mesenteric ischemia in a patient with variant celiacomesenteric trunk anatomy.
- Author
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Sohn C, Coleman D, and Solis M
- Abstract
The celiacomesenteric trunk (CMT) is a rare anatomical variant where the celiac axis and superior mesenteric artery share a common origin. Despite its rarity, CMT has significant implications across various medical fields, particularly in surgical planning and interventional procedures. We report a case of chronic mesenteric ischemia owing to atherosclerotic stenosis at the CMT bifurcation, necessitating a complex interventional approach. Kissing covered stent angioplasty was successfully performed, resulting in revascularization, symptom resolution, and no restenosis at 1-year follow-up. This report highlights the feasibility and effectiveness of the kissing stent technique in managing complex CMT bifurcation obstructions in patients with chronic mesenteric ischemia., Competing Interests: None., (© 2024 The Author(s).) more...
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- 2024
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11. A Hepatogastrophrenic Trunk, Celiacomesenteric Trunk, and a Middle Mesenteric Artery in a 68-Year-Old White Male Donor
- Author
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Ariana Sheridan, Elizabeth Reynolds, Elizabeth Maynes, Gary Wind, Maria Ximena Leighton, and Guinevere Granite
- Subjects
hepatogastrophrenic trunk ,celiacomesenteric trunk ,middle mesenteric artery ,gastrointestinal vascular variations ,Medicine (General) ,R5-920 - Abstract
A detailed understanding of the enteric vascular supply is of great importance for pre-operative planning. In the case of this 68-year-old white male donor, the following variations were observed: a hepatogastrophrenic trunk, a celiacomesenteric trunk, and a middle mesenteric artery. Literature review was conducted to understand the frequency and clinical significance of these variations. more...
- Published
- 2022
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12. Important Variations of Aortic Branches: Imaging Case Series.
- Author
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Singh AK
- Abstract
Various anatomical variations are known to occur in branches of the aorta. Some of these variations are common while others are quite uncommon. However, these variations carry significant implications when the patient is diseased and some intervention or surgical procedure is to be done. Most of these variations are usually incidentally detected. This imaging case series illustrates some clinically important variations of aortic branches including branches of the aortic arch and abdominal aorta, with a review of the literature. All cases illustrated here were detected incidentally., Competing Interests: Human subjects: Consent was obtained or waived by all participants in this study. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work., (Copyright © 2024, Singh et al.) more...
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- 2024
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13. Spontaneous celiacomesenteric trunk dissection: Case report.
- Author
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Boukoucha, Mabrouka, Yahmadi, Abdelwahed, Znaidi, Hakim, Ben Khelifa, Raoudha, and Daghfous, Alifa
- Abstract
• As it is associated with the risk of mesenteric ischaemia or necrosis of the gastro-intestinal tract, the commun celiacomesenteric trunk should be kept in mind as a differential diagnosis for cases of recurrent non-specific abdominal pain. • When this vascular variant is observed, it is desirable; that a surgical treatment be planted to avoid any possible abdominal complications. The celiacomesenteric trunk (CMT) is one of the most striking among the different variations of the normal vascularisation of the gastro-intestinal tract. It is often accidentally discovered during autoptical dissections, angiography or abdominal computed tomography (CT). A 27-year-old man was admitted to emergency for an acute abdominal pain. For his critical condition, the patient was immediately brought to the operating room. A extensive intestinal necrosis was found. Post-operator CT discovered a common CMT that is complicated by extended thrombosis. Despite all resuscitation measures, the patient died of septic shock two days later. An autopsy was performed showed that the main cause of intestinal ischemia was related to dissection of a common CMT. A CMT is a highly unusual variation in humans. It is usually asymptomatic and may be discovered incidentally during vascular surgery, radiologic imaging, or cadaver's dissection. Lesion of this entity can lead to serious gastrointestinal complications including necrosis. Different classifications are proposed in the literature. As it is associated with the risk of mesenteric ischaemia, CMT should be kept in mind as a differential diagnosis for cases of recurrent non-specific abdominal pain. [ABSTRACT FROM AUTHOR] more...
- Published
- 2020
- Full Text
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14. Celiacomesenteric Trunk: a Rare Variation that Must Be Known Before Pancreatic Surgery.
- Author
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Ataka, Ryo, Ikeno, Yoshinobu, and Doi, Ryuichiro
- Subjects
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PANCREATIC surgery , *PANCREATIC tumors , *PANCREATECTOMY , *CELIAC artery , *SPLENIC artery , *MESENTERIC artery , *ENDOSCOPIC gastrointestinal surgery , *HEPATIC artery - Abstract
Keywords: Celiacomesenteric trunk; Pancreatic ductal adenocarcinoma; Pancreas; Endoscopic surgery EN Celiacomesenteric trunk Pancreatic ductal adenocarcinoma Pancreas Endoscopic surgery 1917 1919 3 08/17/21 20210701 NES 210701 Case Presentation A 71-year-old man with diabetes mellitus type 2 presented to our hospital with a complaint of poor blood glucose control. The CMT was the common trunk of celiac artery and SMA, and the celiac artery divided into the common hepatic artery and the splenic artery. Abbreviations CT Computed tomography FDG-PET Fluorodeoxyglucose-positron emission tomography SUVmax Maximum standardized uptake value PDAC Pancreatic ductal adenocarcinoma SMA Superior mesenteric artery Publisher's Note Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. [Extracted from the article] more...
- Published
- 2021
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15. Diagnostic and Surgical Implications of Non-occlusive Mesenteric Ischemic Ileus Associated With Common Celiacomesenteric Trunk: A Case Report and Literature Review.
- Author
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Choi PJK, Pradhan J, Thite S, Pydi R, Sathya Prakash G, Golek TM, Moore S, Shah A, and Girishkumar H
- Abstract
The celiacomesenteric trunk (CMT), an exceedingly rare anatomic variant uniting the celiac artery and superior mesenteric artery (SMA), holds significant clinical and surgical implications. Despite its rarity, understanding these implications is crucial for effective management. This report outlines the case of a 99-year-old female presenting with septic shock and abdominal pain, with imaging revealing an incidental CMT. This paper aims to elucidate the surgical implications associated with CMT through a comprehensive case review and literature search. A 99-year-old female with multiple cardiovascular comorbidities presented with altered mental status and right lower quadrant abdominal pain. Upon arrival, the patient exhibited disorientation, an inability to follow commands, hypoxia, and hypotension. Significant laboratory findings included a white count of 20.6 x 10
9 /L, lactate of 6.1 mmol/L, glucose of 53 mg/dL, alanine transaminase (ALT)/aspartate aminotransferase (AST) of 186/336 U/L, and creatinine of 4.2 mg/dL. Immediate interventions involved high-flow oxygen, fluid resuscitation, intravenous antibiotics, and admission to the ICU for septic shock. A CT angiogram (CTA) revealed an incidental large common trunk comprising the celiac trunk and superior mesenteric artery (SMA). There was a high-grade stenosis at the origin of the SMA. However, all the vessels were widely patent distally, and acute mesenteric occlusion was ruled out. By day 12, the patient achieved clinical stability after conservative management and was discharged. Complications such as aneurysm, dissection, stenosis, thrombosis, or acute occlusion of a CMT may necessitate complex surgical interventions, including endovascular procedures or open hepatic surgery. Understanding these technical complexities is vital for avoiding surgical complications in critically ill patients., Competing Interests: The authors have declared that no competing interests exist., (Copyright © 2024, Choi et al.) more...- Published
- 2024
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16. Splenic artery arising from hepatic artery proper in a patient with celiacomesenteric trunk: a rare anatomical variant.
- Author
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Aljahani, Jumanah, Alaklabi, Aeed, Almalki, Waleed, Alfaleh, Hana, and Alzahrani, Yousof
- Subjects
- *
HEPATIC artery , *SPLENIC artery , *INTERVENTIONAL radiology , *ANATOMICAL variation , *RADIOEMBOLIZATION - Abstract
We report an extremely rare case of splenic artery arising from hepatic artery proper in a patient with celiacomesenteric trunk variant. This anatomical variation was detected angiographically during hepatic mapping prior to transarterial radioembolization (TARE) for hepatocellular carcinoma in an 84-year-old man. TARE of hepatic tumors is one of the frequent procedures done by interventional radiologists. The identification of such rare vascular aberrations is of great importance not only in current interventional radiology procedures such as radioembolization but also in surgery and diagnostic radiology. To the best of our knowledge, this vascular variant is a novel discovery. [ABSTRACT FROM AUTHOR] more...
- Published
- 2019
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17. Nutcracker syndrome associated with celiacomesentric trunk anomaly: case report.
- Author
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Al-Zoubi, Nabil A., Al-Ghalayini, Ibrahim F., and Al-Okour, Radwan
- Subjects
RENAL veins ,CRUSH syndrome ,SUPERIOR mesenteric artery syndrome ,RENAL hypertension ,HEMATURIA ,DISEASES - Abstract
Introduction: Nutcracker syndrome is a rare disease entity that is caused by entrapment of the left renal vein between the aorta and superior mesenteric artery, usually due to abnormal branching of the superior mesenteric artery from the aorta causing renal venous hypertension. The symptoms vary from asymptomatic hematuria to severe pelvic congestion. Celiacomesenteric trunk anomaly is a rare variation of splanchnic artery anomaly that occurs when the celiac trunk and superior mesenteric arteries have a common origin from the aorta. A disease involving the rarely encountered celiacomesenteric trunk anomaly is extremely uncommon. To our knowledge, association between nutcracker syndrome and celiacomesentric trunk anomaly has not been reported in the literature. Case presentation: A 14-year-old boy with no significant past medical history presented with a 3-year painless hematuria. CT-angiogram revealed anterior nutcracker syndrome with celiacomesenteric trunk anomaly. The patient was managed conservatively with close follow-up. Conclusion: Nutcracker syndrome associated with celiacomesenteric trunk anomaly is extremely uncommon and is a rare cause of hematuria in children. Whether this abnormal anatomy is the cause of nutcracker syndrome or just an association should be investigated. Moreover, awareness of this anatomical variation may help in planning therapeutic options and reducing the chance of surgical iatrogenic injuries. [ABSTRACT FROM AUTHOR] more...
- Published
- 2017
- Full Text
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18. A case of a hepatosplenomesenteric trunk combined with a hepatocolic trunk.
- Author
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Johnson, Sarah E., Odineal, David D., Steele, Amy E., Stone, Valerie M., and Tucker, Richard P.
- Subjects
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THERAPEUTIC embolization , *DISSECTION , *CELIAC artery , *EMBRYOLOGY , *TRANSPLANTATION of organs, tissues, etc. - Abstract
An understanding of the variations in the blood supply of the foregut and midgut are of critical importance to surgeons performing transplants, liver and biliary surgery, resection of tumors and various gastrointestinal procedures, as well as to interventional radiologists engaged in vessel embolization. During the dissection of a 95-year-old female cadaver as part of a course in medical gross anatomy at the University of California at Davis a rare series of vascular variations were observed. The left gastric artery arose independently from the abdominal aorta at the location of a typical celiac trunk. The common hepatic artery and splenic artery branched from a common vessel originating from a hepatosplenomesenteric trunk. Just inferior to the hepatosplenic trunk a hepatocolic trunk, which gave rise to an accessory right hepatic artery, dorsal pancreatic artery and a wandering mesenteric artery, branched from the superior mesenteric artery. This rare combination of clinically relevant variations was likely due to the abnormal partitioning and regression of the primitive splanchnic arteries during embryonic development. [ABSTRACT FROM AUTHOR] more...
- Published
- 2017
- Full Text
- View/download PDF
19. Successful endovascular treatment of acute mesenteric and hepatic ischemia in patient with celiomesenteric trunk occlusion.
- Author
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Ritenour A and Mousa A
- Abstract
Acute occlusion of celiomesenteric trunk variants such as a replaced common hepatic artery origin from a superior mesenteric artery can be catastrophic and requires immediate attention to reverse simultaneous mesenteric and hepatic ischemia and prevent death. We report the case of a 73-year-old woman with acute occlusion of her celiomesenteric trunk and proximal superior mesenteric artery who underwent successful endovascular repair with stent graft via brachial access. In the present case report, we describe a surgically relevant classification system of celiomesenteric trunk variants, highlight the feasibility of endovascular intervention in this uncommon scenario, and describe our technique., Competing Interests: None., (© 2023 The Author(s).) more...
- Published
- 2023
- Full Text
- View/download PDF
20. Spontaneous celiacomesenteric trunk dissection: Case report
- Author
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Hakim Znaidi, Abdelwahed Yahmadi, Mabrouka Boukoucha, Raoudha Ben Khelifa, and Alifa Daghfous
- Subjects
Abdominal pain ,Resuscitation ,medicine.medical_specialty ,Autopsy ,Mesenteric ischaemia ,Acute abdominal ,Article ,03 medical and health sciences ,0302 clinical medicine ,medicine ,medicine.diagnostic_test ,business.industry ,Dissection ,medicine.disease ,Trunk ,Thrombosis ,030220 oncology & carcinogenesis ,Angiography ,030211 gastroenterology & hepatology ,Surgery ,Radiology ,medicine.symptom ,Differential diagnosis ,business ,Celiacomesenteric trunk - Abstract
Highlights • As it is associated with the risk of mesenteric ischaemia or necrosis of the gastro-intestinal tract, the commun celiacomesenteric trunk should be kept in mind as a differential diagnosis for cases of recurrent non-specific abdominal pain. • When this vascular variant is observed, it is desirable; that a surgical treatment be planted to avoid any possible abdominal complications., Introduction The celiacomesenteric trunk (CMT) is one of the most striking among the different variations of the normal vascularisation of the gastro-intestinal tract. It is often accidentally discovered during autoptical dissections, angiography or abdominal computed tomography (CT). Case presentation A 27-year-old man was admitted to emergency for an acute abdominal pain. For his critical condition, the patient was immediately brought to the operating room. A extensive intestinal necrosis was found. Post-operator CT discovered a common CMT that is complicated by extended thrombosis. Despite all resuscitation measures, the patient died of septic shock two days later. An autopsy was performed showed that the main cause of intestinal ischemia was related to dissection of a common CMT. Discussion A CMT is a highly unusual variation in humans. It is usually asymptomatic and may be discovered incidentally during vascular surgery, radiologic imaging, or cadaver's dissection. Lesion of this entity can lead to serious gastrointestinal complications including necrosis. Different classifications are proposed in the literature. Conclusion As it is associated with the risk of mesenteric ischaemia, CMT should be kept in mind as a differential diagnosis for cases of recurrent non-specific abdominal pain. more...
- Published
- 2020
21. IMAGING DIAGNOSIS-CELIACOMESENTERIC TRUNK AND PORTAL VEIN HYPOPLASIA IN A PIT BULL TERRIER.
- Author
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Ricciardi, Mario, Martino, Rosmara, and Assad, Eyad Abu
- Abstract
The computed tomography ( CT) imaging findings of a celiacomesenteric trunk ( CMT) in a 1-year-old dog with primary hypoplasia of the portal vein ( PHPV) are described. Computed tomography angiography revealed acquired porto-systemic shunts secondary to portal hypertension and a common origin of the celiac and cranial mesenteric arteries. The imaging findings and the association of a CMT with other vascular diseases have never been reported in dogs. The recognition of this rare arterial anomaly should prompt to investigate possible concurrent vascular diseases and may influence the planning of abdominal surgeries. [ABSTRACT FROM AUTHOR] more...
- Published
- 2014
- Full Text
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22. Celiacomesenteric trunk associated with superior mesenteric artery aneurysm: A case report and review of literature
- Author
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Michel Feghaly, Amine Geahchan, Youssef Ghosn, Abbas Chamseddine, Mohammed Hussein Kamareddine, Rola Bou Khalil, Said Farhat, and Walid Alam
- Subjects
Abdominal pain ,medicine.medical_specialty ,medicine.medical_treatment ,Case Report ,embolization ,030204 cardiovascular system & hematology ,03 medical and health sciences ,0302 clinical medicine ,Aneurysm ,Celiac artery ,medicine.artery ,Occlusion ,medicine ,Superior mesenteric artery ,Embolization ,cardiovascular diseases ,lcsh:R5-920 ,business.industry ,superior mesenteric artery ,General Medicine ,medicine.disease ,Trunk ,celiac trunk stenosis ,retrograde blood flow ,Stenosis ,030220 oncology & carcinogenesis ,aneurysm ,cardiovascular system ,Radiology ,medicine.symptom ,Celiacomesenteric trunk ,business ,lcsh:Medicine (General) - Abstract
In rare cases, the celiac artery and the superior mesenteric artery arise from a common origin known as a common celiacomesenteric trunk. Celiac trunk stenosis or occlusion has been reported to accompany this anatomical aberrancy. Even rarer, are aneurysms associated with this common celiacomesenteric trunk. In general, visceral artery aneurysms are uncommon. We hereby present a 39-year-old female patient with a 1-month history of mild diffuse abdominal pain, with an incidental finding of superior mesenteric artery aneurysm on abdominal ultrasound. Subsequent contrast-enhanced computed tomography revealed severe narrowing of the celiac trunk and saccular aneurysmal dilatation of the superior mesenteric artery. Coil embolization of the aneurysm was performed, while maintaining persistent flow in the superior mesenteric artery and celiacomesenteric trunk. Visceral artery aneurysms are increasingly being identified incidentally with improvement in imaging techniques. The question lies whether to treat these aneurysms or observe. No universal guidelines exist regarding that matter, but the decision to intervene is made based on aneurysm location, size, and patient characteristics. more...
- Published
- 2020
23. Celiacomesenteric trunk: a variation that must be known before aortic surgery
- Author
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Nicolas Lagoutte, Olivier Facy, Boris Guiu, Claire Favier, and Nicolas Cheynel
- Subjects
celiacomesenteric trunk ,thrombosis ,mesenteric ischemia. ,Medicine (General) ,R5-920 - Abstract
The celiac trunk and the mesenteric arteries may present variations with different clinical significance. A celiacomesenteric trunk was discovered in a patient with mesenteric ischemia and a history of aortic bypass without inferior mesenteric artery reimplantation. Despite thrombectomies and digestive resections, the patient died. Anatomic variations like celiacomesenteric trunk must be known before aortic surgery. more...
- Published
- 2011
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24. Variations in the anatomy of the celiac trunk: A systematic review and clinical implications.
- Author
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Panagouli, Eleni, Venieratos, Dionysios, Lolis, Evangelos, and Skandalakis, Panagiotis
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CELIAC artery ,ANATOMICAL variation ,LIVER transplantation ,SYSTEMATIC reviews ,STATISTICAL significance ,DISEASE incidence - Abstract
Abstract: The normal pattern of the celiac trunk (CT) implies its bifurcation to three branches, the common hepatic, the splenic and the left gastric artery. According to the available literature the CT presents several anatomical variations. The purpose of our study is to investigate the different types of these variations, the corresponding incidences and the probable influence of genetic factors, as they are presented in the existing literature. Four databases were searched for eligible articles for the period up to January 2013 and a total of 36 studies were collected. The CT was trifurcated into the three basic branches in the 89.42% (10,906/12,196) of the cases. Bifurcation of the CT occurred in the 7.40% of the pooled samples (903/12,196). Absence of the CT was the rarest variation with a percentage of 0.38% (46/12,196), hepatosplenomesenteric trunk was found in 49 out of the 12,196 cases (0.40%) and the celiacomesenteric trunk presented an incidence of 0.76% (93/12,196). Other variations of the CT were detected in the 1.64% of the pooled cases (199/12,196). The 14.9% of the cases in the cadaveric series (489/3278 specimens), the 10.5% in the imaging series (675/6501 specimens) and the 4.6% (104/2261) in the liver transplantation series presented variations. These differences are statistically significant (p <0.001). The Japanese and Korean populations presented more variations in the CT than Caucasians (p <0.05 and p <0.001). Negro, colored and black populations presented more variations of the CT than Indian ones (p >0.05). Using those data, a novel classification of CT variations is proposed. [Copyright &y& Elsevier] more...
- Published
- 2013
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25. Celiacomesenteric Trunk as a Cause of Median Arcuate Ligament Syndrome.
- Author
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Chaiwatcharayut, Wikrom, Lekah, Alexander, and Kurklinsky, Andrew
- Subjects
LIGAMENT diseases ,DISEASES in older people ,HEPATIC artery ,DOPPLER velocimetry ,DIAGNOSTIC imaging ,MEDICAL education examinations ,MEDICINE case studies - Abstract
A 28-year-old man presented with a constellation of symptoms with 6 months of duration, most prominent being unexplained weight loss of 35 pounds and postprandial abdominal discomfort. Multiple specialist consultations, laboratory and instrumental studies did not yield a unifying diagnosis. The patient had been treated with multiple medications without improvements. On examination, an epigastric bruit that increased with expiration and decreased with inspiration raised suspicion for median arcuate ligament syndrome (MALS). Ultrasonography of the mesenteric arteries revealed a rare anatomical variant of abdominal vessels known as celiacomesenteric trunk (the celiac artery and superior mesenteric artery sharing a common origin from the aorta). There was also a median arcuate ligament impression on the celiac artery and marked respiratory variations of Doppler velocities in support of the diagnosis of MALS. This is a case report of celiacomesenteric trunk clinically associated with MALS. [Copyright &y& Elsevier] more...
- Published
- 2013
- Full Text
- View/download PDF
26. Successful treatment of a visceral artery aneurysm with a celiacomesenteric trunk: Report of a case.
- Author
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Guntani, Atsushi, Yamaoka, Terutoshi, Kyuragi, Ryoichi, Honma, Kenichi, Iwasa, Kazuomi, Matsumoto, Takuya, Nishizaki, Takashi, and Maehara, Yoshihiko
- Abstract
celiacomesenteric trunk is an anomaly in which the celiac and superior mesenteric arteries have a common origin from the aorta. This structure accounts for less than 1% of all visceral artery anomalies, and is estimated to have an incidence of 0.25%. Aneurysms involving a celiacomesenteric trunk are exceptionally rare. We herein report our treatment modality for an 82-year-old man with a visceral artery aneurysm involving a celiacomesenteric trunk. The aneurysm was resected, and the superior mesenteric, splenic, and common hepatic arteries were successfully reconstructed. [ABSTRACT FROM AUTHOR] more...
- Published
- 2011
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27. A common celiacomesenteric trunk, and a brief review of the literature.
- Author
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Yi, Shuang-Qin, Terayama, Hayato, Naito, Munekazu, Hayashi, Shogo, Moriyama, Hiroshi, Tsuchida, Akihiko, and Itoh, Masahiro
- Subjects
MEDICAL literature ,BLOOD vessels ,HUMAN body ,TORSO - Abstract
Summary: The authors report a rare variation, a common celiacomesenteric trunk, which was observed during routine dissection of an 89-year-old Japanese female cadaver in the laboratory of the Anatomy Department. The trunk gave rise to left gastric, common hepatic, splenic and superior mesenteric arteries. The developmental significance of this variation is discussed with a brief review of the literature. [Copyright &y& Elsevier] more...
- Published
- 2007
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28. Nutcracker syndrome associated with celiacomesentric trunk anomaly: case report
- Author
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Radwan Al-Okour, Ibrahim F. Al-Ghalayini, and Nabil A Al-Soubi
- Subjects
medicine.medical_specialty ,nutcracker syndrome ,030232 urology & nephrology ,Case Report ,030204 cardiovascular system & hematology ,Asymptomatic ,03 medical and health sciences ,Nutcracker syndrome ,0302 clinical medicine ,medicine.artery ,medicine ,Superior mesenteric artery ,Mesenteric arteries ,Aorta ,business.industry ,medicine.disease ,Trunk ,celiacomesenteric trunk ,medicine.anatomical_structure ,Nephrology ,Radiology ,hematuria in children ,medicine.symptom ,business ,Rare disease ,Artery - Abstract
Introduction Nutcracker syndrome is a rare disease entity that is caused by entrapment of the left renal vein between the aorta and superior mesenteric artery, usually due to abnormal branching of the superior mesenteric artery from the aorta causing renal venous hypertension. The symptoms vary from asymptomatic hematuria to severe pelvic congestion. Celiacomes-enteric trunk anomaly is a rare variation of splanchnic artery anomaly that occurs when the celiac trunk and superior mesenteric arteries have a common origin from the aorta. A disease involving the rarely encountered celiacomesenteric trunk anomaly is extremely uncommon. To our knowledge, association between nutcracker syndrome and celiacomesentric trunk anomaly has not been reported in the literature. Case presentation A 14-year-old boy with no significant past medical history presented with a 3-year painless hematuria. CT-angiogram revealed anterior nutcracker syndrome with celiacomesenteric trunk anomaly. The patient was managed conservatively with close follow-up. Conclusion Nutcracker syndrome associated with celiacomesenteric trunk anomaly is extremely uncommon and is a rare cause of hematuria in children. Whether this abnormal anatomy is the cause of nutcracker syndrome or just an association should be investigated. Moreover, awareness of this anatomical variation may help in planning therapeutic options and reducing the chance of surgical iatrogenic injuries. more...
- Published
- 2017
29. Endovascular repair of traumatic aortic pseudoaneurysm with associated celiacomesenteric trunk.
- Author
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Singh, Tej M., Hung, Raymond, Lebowitz, Edward, Wallbom, Agnes, Shaver, Debbie, Soria, Jaime, Zarins, Christopher K., and Hung, Raymund
- Subjects
SURGICAL stents ,ANEURYSMS ,WOMEN'S injuries ,HEMATOMA ,WOUNDS & injuries - Abstract
Purpose: To report stent-graft repair of a traumatic aortic pseudoaneurysm in proximity to a celiacomesenteric trunk.Case Report: An 18-year-old woman suffered a large gunshot wound to the right flank. At laparotomy, only a large, nonexpanding right retroperitoneal hematoma was found, which was thought to represent significant penetrating trauma to the kidney mass. The patient was monitored in the intensive care unit. One week later, computed tomography revealed a partially infarcted right kidney and a 2.3-cm supraceliac aortic pseudoaneurysm, with adjacent bullet fragments. An angiogram confirmed the pseudoaneurysm and showed it to be 7 mm from the celiacomesenteric trunk. Endovascular repair was undertaken with a 16 x 55-mm AneuRx stent-graft, which was successfully placed across the aortic pseudoaneurysm without covering the celiacomesenteric trunk. Imaging at 12 months revealed no endoleak and full pseudoaneurysm exclusion.Conclusions: This operative approach is appropriate for the individual patient who has suitable anatomy and a clinical course that requires immediate repair of an aortic injury to prevent further complications and delays in ancillary treatments. [ABSTRACT FROM AUTHOR] more...- Published
- 2005
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30. Asymptomatic stenosis of a celiacomesenteric trunk.
- Author
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Hammoutene C, Durot C, Bouché O, Kianmanesh R, and Rhaiem R
- Abstract
Celiacomesenteric trunk is a rare variant of celiac artery anatomical variations. Stenosis of celiacomesenteric trunk is a severe usually symptomatic condition which might jeopardize the arterial supply of both supramesocolic organs and the midgut. It was diagnosed in a 79-year-old male during the preoperative workup for a pancreatic adenocarcinoma. Highly developed arterial anastomotic arcades, and mainly Riolan arcade, allowed to bypass this stenosis and to avoid digestive ischemia. Arterial anastomotic arcades are of paramount interest to ensure sufficient supply to the corresponding organs and must be thoroughly evaluated before planned surgery to avoid postoperative ischemia., (© 2022 Published by Elsevier Inc. on behalf of University of Washington.) more...
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- 2022
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31. Celiacomesenteric trunk: a short report.
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Bhatnagar, Shorav, Rajesh, S., Jain, Vishal Kumar, Patidar, Yashwant, Mukund, Amar, and Arora, Ankur
- Subjects
- *
COMPUTED tomography , *ABDOMEN , *SUPERIOR mesenteric artery syndrome , *SPLENIC artery , *PHRENIC nerve , *HEPATIC artery - Abstract
The authors describe the case of a 44-year-old male with chronic liver disease in whom celiacomesenteric trunk (CMT) was incidentally detected on routine multidetector row computed tomography of abdomen. The CMT (measuring approximately in diameter 12.3 mm) divided into celiac trunk and superior mesenteric artery (SMA) (measuring approximately 7.5 and 7.2 mm, respectively). The celiac trunk further divided into common hepatic, left gastric, and right inferior phrenic and splenic arteries. The common hepatic artery gave off gastroduodenal arteries before continuing as hepatic artery proper. The SMA was seen running down, deep to the neck of the pancreas to supply the midgut. The incidence and clinical implications of this vascular variation are discussed with a review of the relevant literature. [ABSTRACT FROM AUTHOR] more...
- Published
- 2013
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32. Celiacomesenteric trunk associated with superior mesenteric artery aneurysm: A case report and review of literature.
- Author
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Alam W, Kamareddine MH, Geahchan A, Ghosn Y, Feghaly M, Chamseddine A, Bou Khalil R, and Farhat S
- Abstract
In rare cases, the celiac artery and the superior mesenteric artery arise from a common origin known as a common celiacomesenteric trunk. Celiac trunk stenosis or occlusion has been reported to accompany this anatomical aberrancy. Even rarer, are aneurysms associated with this common celiacomesenteric trunk. In general, visceral artery aneurysms are uncommon. We hereby present a 39-year-old female patient with a 1-month history of mild diffuse abdominal pain, with an incidental finding of superior mesenteric artery aneurysm on abdominal ultrasound. Subsequent contrast-enhanced computed tomography revealed severe narrowing of the celiac trunk and saccular aneurysmal dilatation of the superior mesenteric artery. Coil embolization of the aneurysm was performed, while maintaining persistent flow in the superior mesenteric artery and celiacomesenteric trunk. Visceral artery aneurysms are increasingly being identified incidentally with improvement in imaging techniques. The question lies whether to treat these aneurysms or observe. No universal guidelines exist regarding that matter, but the decision to intervene is made based on aneurysm location, size, and patient characteristics., Competing Interests: Declaration of conflicting interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article., (© The Author(s) 2020.) more...
- Published
- 2020
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33. Thrombosis of celiacomesenteric trunk: report of a case.
- Author
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Lovisetto F, Finocchiaro De Lorenzi G, Stancampiano P, Corradini C, De Cesare F, Geraci O, Manzi M, and Arceci F
- Subjects
- Aged, Fatal Outcome, Female, Gastrointestinal Tract blood supply, Humans, Ischemia etiology, Thrombosis complications, Celiac Artery abnormalities, Mesenteric Artery, Superior abnormalities, Thrombosis diagnosis
- Abstract
Here we present the case of a 79-year-old woman who complained of acute abdominal pain, vomiting and diarrhoea. Laboratory exams demonstrated a severe metabolic imbalance. Abdominal X-rays showed bowel overdistension and pneumatosis of the stomach wall. Abdominal tomography revealed infarction of the stomach, duodenum and small bowel due to thrombosis of the celiacomesenteric trunk. Exploratory laparotomy revealed ischemia of the liver, spleen infarction and necrosis of the gastro-intestinal tube (from the stomach up to the first third of the transverse colon). No further surgical procedures were performed. The patient died the following day. To our knowledge, this is the first reported case about severe gastro-intestinal ischemia due to thrombosis of the celiacomesenteric trunk, a rare anatomic variation of the gastrointestinal vascularisation. more...
- Published
- 2012
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34. Celiacomesenteric trunk: a variation that must be known before aortic surgery.
- Author
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Lagoutte N, Facy O, Guiu B, Favier C, and Cheynel N
- Abstract
The celiac trunk and the mesenteric arteries may present variations with different clinical significance. A celiacomesenteric trunk was discovered in a patient with mesenteric ischemia and a history of aortic bypass without inferior mesenteric artery reimplantation. Despite thrombectomies and digestive resections, the patient died. Anatomic variations like celiacomesenteric trunk must be known before aortic surgery. more...
- Published
- 2011
- Full Text
- View/download PDF
35. Celiacomesenteric Trunk as a Cause of Median Arcuate Ligament Syndrome
- Author
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Wikrom Chaiwatcharayut, Andrew K. Kurklinsky, and Alexander Lekah
- Subjects
medicine.medical_specialty ,Aorta ,mesenteric artery ,business.industry ,Median arcuate ligament ,median arcuate ligament ,ultrasonography ,medicine.disease ,Trunk ,Surgery ,celiacomesenteric trunk ,blood flow velocity ,medicine.anatomical_structure ,Celiac artery ,Radiology Nuclear Medicine and imaging ,medicine.artery ,medicine ,celiac artery ,Radiology, Nuclear Medicine and imaging ,Expiration ,Radiology ,Superior mesenteric artery ,business ,Mesenteric arteries ,Median arcuate ligament syndrome - Abstract
A 28-year-old man presented with a constellation of symptoms with 6 months of duration, most prominent being unexplained weight loss of 35 pounds and postprandial abdominal discomfort. Multiple specialist consultations, laboratory and instrumental studies did not yield a unifying diagnosis. The patient had been treated with multiple medications without improvements. On examination, an epigastric bruit that increased with expiration and decreased with inspiration raised suspicion for median arcuate ligament syndrome (MALS). Ultrasonography of the mesenteric arteries revealed a rare anatomical variant of abdominal vessels known as celiacomesenteric trunk (the celiac artery and superior mesenteric artery sharing a common origin from the aorta). There was also a median arcuate ligament impression on the celiac artery and marked respiratory variations of Doppler velocities in support of the diagnosis of MALS. This is a case report of celiacomesenteric trunk clinically associated with MALS. more...
- Full Text
- View/download PDF
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