Celiacomesenteric trunk associated with superior mesenteric artery aneurysm: A case report and review of literature
In rare cases, the celiac artery and the superior mesenteric artery arise from a common origin known as a common celiacomesenteric trunk. Celiac trunk stenosis or occlusion has been reported to accompany this anatomical aberrancy. Even rarer, are aneurysms associated with this common celiacomesenter...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
SAGE Publishing
2020-08-01
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| Series: | SAGE Open Medical Case Reports |
| Online Access: | https://doi.org/10.1177/2050313X20938243 |
| _version_ | 1819157808799547392 |
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| author | Walid Alam Mohammed Hussein Kamareddine Amine Geahchan Youssef Ghosn Michel Feghaly Abbas Chamseddine Rola Bou Khalil Said Farhat |
| author_facet | Walid Alam Mohammed Hussein Kamareddine Amine Geahchan Youssef Ghosn Michel Feghaly Abbas Chamseddine Rola Bou Khalil Said Farhat |
| author_sort | Walid Alam |
| collection | DOAJ |
| description | In rare cases, the celiac artery and the superior mesenteric artery arise from a common origin known as a common celiacomesenteric trunk. Celiac trunk stenosis or occlusion has been reported to accompany this anatomical aberrancy. Even rarer, are aneurysms associated with this common celiacomesenteric trunk. In general, visceral artery aneurysms are uncommon. We hereby present a 39-year-old female patient with a 1-month history of mild diffuse abdominal pain, with an incidental finding of superior mesenteric artery aneurysm on abdominal ultrasound. Subsequent contrast-enhanced computed tomography revealed severe narrowing of the celiac trunk and saccular aneurysmal dilatation of the superior mesenteric artery. Coil embolization of the aneurysm was performed, while maintaining persistent flow in the superior mesenteric artery and celiacomesenteric trunk. Visceral artery aneurysms are increasingly being identified incidentally with improvement in imaging techniques. The question lies whether to treat these aneurysms or observe. No universal guidelines exist regarding that matter, but the decision to intervene is made based on aneurysm location, size, and patient characteristics. |
| first_indexed | 2024-12-22T16:14:39Z |
| format | Article |
| id | doaj.art-a3654501e5f24397a4e71f97cf8609a3 |
| institution | Directory Open Access Journal |
| issn | 2050-313X |
| language | English |
| last_indexed | 2024-12-22T16:14:39Z |
| publishDate | 2020-08-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | SAGE Open Medical Case Reports |
| spelling | doaj.art-a3654501e5f24397a4e71f97cf8609a32022-12-21T18:20:24ZengSAGE PublishingSAGE Open Medical Case Reports2050-313X2020-08-01810.1177/2050313X20938243Celiacomesenteric trunk associated with superior mesenteric artery aneurysm: A case report and review of literatureWalid Alam0Mohammed Hussein Kamareddine1Amine Geahchan2Youssef Ghosn3Michel Feghaly4Abbas Chamseddine5Rola Bou Khalil6Said Farhat7Department of Internal Medicine, Saint George Hospital University Medical Center, Beirut, LebanonSaint George Hospital University Medical Center, Beirut, LebanonDepartment of Radiology, Saint George Hospital University Medical Center, Beirut, LebanonSaint George Hospital University Medical Center, Beirut, LebanonDepartment of Vascular Surgery, Saint George Hospital University Medical Center, Beirut, LebanonDepartment of Interventional Radiology, Saint George Hospital University Medical Center, Beirut, LebanonDepartment of Endocrinology, Saint George Hospital University Medical Center, Beirut, LebanonDepartment of Gastroenterology, Saint George Hospital University Medical Center, Beirut, LebanonIn rare cases, the celiac artery and the superior mesenteric artery arise from a common origin known as a common celiacomesenteric trunk. Celiac trunk stenosis or occlusion has been reported to accompany this anatomical aberrancy. Even rarer, are aneurysms associated with this common celiacomesenteric trunk. In general, visceral artery aneurysms are uncommon. We hereby present a 39-year-old female patient with a 1-month history of mild diffuse abdominal pain, with an incidental finding of superior mesenteric artery aneurysm on abdominal ultrasound. Subsequent contrast-enhanced computed tomography revealed severe narrowing of the celiac trunk and saccular aneurysmal dilatation of the superior mesenteric artery. Coil embolization of the aneurysm was performed, while maintaining persistent flow in the superior mesenteric artery and celiacomesenteric trunk. Visceral artery aneurysms are increasingly being identified incidentally with improvement in imaging techniques. The question lies whether to treat these aneurysms or observe. No universal guidelines exist regarding that matter, but the decision to intervene is made based on aneurysm location, size, and patient characteristics.https://doi.org/10.1177/2050313X20938243 |
| spellingShingle | Walid Alam Mohammed Hussein Kamareddine Amine Geahchan Youssef Ghosn Michel Feghaly Abbas Chamseddine Rola Bou Khalil Said Farhat Celiacomesenteric trunk associated with superior mesenteric artery aneurysm: A case report and review of literature SAGE Open Medical Case Reports |
| title | Celiacomesenteric trunk associated with superior mesenteric artery aneurysm: A case report and review of literature |
| title_full | Celiacomesenteric trunk associated with superior mesenteric artery aneurysm: A case report and review of literature |
| title_fullStr | Celiacomesenteric trunk associated with superior mesenteric artery aneurysm: A case report and review of literature |
| title_full_unstemmed | Celiacomesenteric trunk associated with superior mesenteric artery aneurysm: A case report and review of literature |
| title_short | Celiacomesenteric trunk associated with superior mesenteric artery aneurysm: A case report and review of literature |
| title_sort | celiacomesenteric trunk associated with superior mesenteric artery aneurysm a case report and review of literature |
| url | https://doi.org/10.1177/2050313X20938243 |
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