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Aneurysm of a common celiomesenteric trunk
M Detroux1, S Anidjar, R Nottin
1Service de Chirurgie Cardiovasculaire, Centre Chirurgical Marie-Lannelongue, Le Plessis Robinson, France.
Annals of Vascular Surgery
|February 6, 1998
Summary
A rare common celiomesenteric trunk aneurysm was resected and sutured. This congenital vascular anomaly highlights the need for complete angiographic study in visceral artery aneurysms.
Area of Science:
- Vascular Surgery
- Embryology
- Gastroenterology
Background:
- Aneurysms of the celiac and superior mesenteric arteries are rare, comprising 10% of visceral artery aneurysms.
- Aneurysms of the common celiomesenteric trunk are exceptionally rare, with only two prior reported cases.
Observation:
- This report details a unique case of a saccular aneurysm arising from the bifurcation of a common celiomesenteric trunk.
- The aneurysm was successfully treated with surgical resection and suture ligation of the neck.
Findings:
- The anatomical variation suggests a congenital origin, likely due to an embryonic developmental defect.
- Other potential causes for aneurysms in this region include atherosclerosis, infection, inflammation, and arterial dystrophy.
Implications:
- Visceral artery aneurysms, particularly rare variants, necessitate thorough angiographic evaluation.
- Surgical intervention is typically indicated for these lesions.