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Updated: Dec 20, 2025

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Spontaneous celiacomesenteric trunk dissection: Case report.

Mabrouka Boukoucha1, Abdelwahed Yahmadi2, Hakim Znaidi2

  • 1Department of Radiology, Trauma and BurnCenter of Ben Arous, Tunisia.

International Journal of Surgery Case Reports
|May 25, 2020
PubMed
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The celiacomesenteric trunk (CMT) is a rare vascular variation. A case study highlights that CMT dissection can cause severe intestinal ischemia and necrosis, emphasizing its importance in diagnosing abdominal pain.

Area of Science:

  • Vascular anatomy
  • Gastrointestinal radiology
  • Surgical pathology

Background:

  • The celiacomesenteric trunk (CMT) represents a significant variation in gastrointestinal vascular anatomy.
  • CMT is often incidentally discovered during autopsies, angiography, or CT scans.

Observation:

  • A 27-year-old male presented with acute abdominal pain, leading to emergency surgery.
  • Extensive intestinal necrosis was identified, with post-operative CT revealing a common CMT complicated by thrombosis.
  • Autopsy confirmed dissection of the common CMT as the cause of intestinal ischemia.

Findings:

  • CMT is an uncommon human vascular anomaly, typically asymptomatic and found incidentally.
  • Complications of CMT can include severe gastrointestinal issues like necrosis.
Keywords:
Acute abdominalCeliacomesenteric trunkDissectionMesenteric ischaemia

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  • Classifications for CMT variations exist in medical literature.

    • Implications:

    • CMT should be considered in the differential diagnosis of recurrent, non-specific abdominal pain due to its association with mesenteric ischemia.
    • Awareness of CMT is crucial for clinicians managing acute abdominal conditions.
    • Prompt recognition and management of CMT-related complications can be life-saving.