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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.

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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.

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