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Updated: Sep 5, 2025

Multimodality Diagnosis of Mesenteric Ischemia
Published on: July 21, 2023
Asymptomatic stenosis of a celiacomesenteric trunk
Cheryne Hammoutene1,2, Carole Durot3, Olivier Bouché1,4
1Faculty of Medicine, University Reims Champagne-Ardenne, Reims 51100, France.
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.
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