A case of celiacomesenteric trunk in a Tanzanian man

Abstract

BackgroundVariation in the branching patterns of the three major arteries that supply the digestive system may occur due to different embryological mechanisms.Case presentationThe present case report describes the celiac artery and the superior mesenteric artery originating from the abdominal aorta through a common trunk. The celiac artery in turn gave rise to the splenic artery and a common trunk for common hepatic and left gastric artery. The superior and inferior mesenteric arteries had normal branching patterns.ConclusionAwareness of these variations on the part of the surgical team before surgery can help avoid iatrogenic arterial injury.

Nutcracker syndrome associated with celiacomesentric trunk anomaly: case report

“…1,4 The diagnostic criteria of NCS have not been established yet, and there is no simple procedure for a definitive diagnosis at present. 7 Although it has been suggested that selective left renal venography is the standard procedure for the diagnosis of NCS, we did not use this technique in our patients because of its invasiveness and the burden of radiation that …”

“…6 A celiacomesenteric trunk (CMT), with the celiac and SMA having a common origin from the aorta, accounts for less than 1% of all splanchnic artery anomalies, and it is estimated to have an incidence of 0.25%, with only a few patients with CMT disease having been reported in the literature in a separate series. [7][8][9] This article presents a case of a 14-year-old boy who presented with hematuria caused by a rare entity -NCS associated with CMT anomaly. To the best of our knowledge, NCS associated with CMT has not been previously reported.…”

“…4 The diagnosis of CMT has often been reported during autopsy or accidentally during angiography or abdominal CT scanning. 7 To date, only 10 patients with CMT disease have been reported in six separate series. 8 This anomaly has been reported to be associated with clinical conditions like chronic occlusive disease, compression by abdominal aorta aneurysm, celiac compression syndrome, or rarely large gastrointestinal infarction due to thrombosis of the CMT.…”

“…12 In CTA, the LRV often shows a disparity in caliber between the part distal to the aorta and the part precisely in front of the aorta (beak sign) (Figure 1). 7 Furthermore, a decreased aortomesenteric angle and a shortened aortomesenteric distance can suggest the diagnosis (Figure 1). 13 It also provides high-quality 3D-reconstructed images and allows noninvasive assessment of normal and abnormal anatomy of CeT.…”

“…8 This anomaly has been reported to be associated with clinical conditions like chronic occlusive disease, compression by abdominal aorta aneurysm, celiac compression syndrome, or rarely large gastrointestinal infarction due to thrombosis of the CMT. 7 This variation is important clinically since awareness of such variation on the part of the surgical team before surgery can help avoid iatrogenic arterial injury, particularly in centers where angiographic studies are not performed regularly. 7 In this particular case, we managed the patient conservatively with close follow-up as recommended by the literature, since many studies demonstrated spontaneous resolution of hematuria in children with NCS.…”