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Updated: Aug 5, 2025

Multimodality Diagnosis of Mesenteric Ischemia
Published on: July 21, 2023
Persistence of Abdominal Pain: Did You Check for Mesenteric Vessels?
Jessica Piroddu1, Maria Pina Dore1,2, Giovanni Mario Pes1
1Dipartimento di Medicina, Chirurgia e Farmacia, University of Sassari, Viale San Pietro, No. 43, 07100 Sassari, Italy.
Abstract:
The incidence of abnormalities regarding the celiac-mesenteric trunk (CMT) has been reported to be between 1% and 2.7%, whereas for visceral aneurysms the incidence is between 0.1% and 0.2% of the general population. Anatomical variations in the CMT may be the result of abnormal embryogenesis of the primitive segmental splanchnic arteries that supply the bowel and several abdominal organs. The clinical presentation may range from vague abdominal symptoms to aneurysm rupture with a significant mortality risk. In this case, we describe the clinical history of a 37-year-old man with postprandial abdominal pain likely related to the celiac-mesenteric trunk enlargement, associated with high resistance flow in the proximal site. Postprandial symptoms improved by avoiding large meals and surveillance for the CMT anomalies was recommended by cross-imaging including the echo-color-Doppler to assess blood flow modification.
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