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Celiomesenteric trunk with concurrent aneurysm: report of a case
Yi Wang1, Ping Chen, Ning Shen
1Department of Radiology, Third Affiliated Hospital and Research Institute of Surgery, Third Military Medical University, Chongqing, 400042, PR China.
Surgery Today
|April 29, 2010
Summary
A rare common celiomesenteric anomaly with an aneurysm was identified in a 53-year-old man. Surgical resection and replantation of the superior mesenteric artery were performed due to rupture risk.
Area of Science:
- Vascular Surgery
- Radiology
- Anatomical Variations
Background:
- Common celiomesenteric anomalies are rare vascular variations.
- Aneurysms in these anomalies present a significant risk of rupture.
- Early detection and management are crucial for patient outcomes.
Observation:
- A 53-year-old male presented with hypoglycemia, leading to incidental discovery of a vascular anomaly.
- Contrast-enhanced multidetector computed tomography (MDCT) angiography revealed a saccular aneurysm.
- The aneurysm originated from the bifurcation of a common celiomesenteric trunk.
Findings:
- MDCT angiography clearly depicted the aneurysm and the origins/courses of the hepatic, splenic, and superior mesenteric arteries.
- Celiac digital subtraction angiography (DSA) confirmed the CT findings.
- The anomaly involved a common celiomesenteric trunk with a concurrent saccular aneurysm.
Implications:
- Surgical resection of the aneurysm was performed to mitigate rupture risk.
- Replantation of the superior mesenteric artery into the celiomesenteric trunk ensured continued blood supply.
- This case highlights the importance of recognizing rare vascular anomalies and their potential complications.
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