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Celiomesenteric anomaly and aneurysm: clinical and etiologic features
R W Bailey1, T S Riles, R J Rosen
1Department of Surgery, New York University Medical Center.
Journal of Vascular Surgery
|August 1, 1991
Summary
Aneurysms involving the rare celiomesenteric anomaly are extremely uncommon. This case highlights successful surgical repair of such a visceral artery aneurysm, emphasizing awareness of rare vascular variations.
Area of Science:
- Vascular Surgery
- Embryology
- Atherosclerosis
Background:
- Aneurysmal disease of the celiac or superior mesenteric arteries is rare, comprising <10% of visceral artery aneurysms.
- Aneurysms associated with celiomesenteric anomalies are exceptionally rare, with limited prior case reports.
Observation:
- A young woman presented with an aneurysm of a common celiomesenteric trunk, a rare vascular anomaly.
- The patient underwent successful surgical excision of the aneurysm and vascular reconstruction.
Findings:
- Celiomesenteric anomalies arise from variations in embryonic visceral artery development.
- Atherosclerosis, medial degeneration, and infection are primary causes of most visceral artery aneurysms.
Implications:
- Surgical intervention is generally indicated for celiac or mesenteric aneurysms.
- Understanding embryologic variations and collateral circulation is crucial for managing these rare vascular lesions.