Celiac Artery Aneurysm

Karabay, Kanber Ocal; Geceer, Gurkan; Erdim, Refik

doi:10.5455/medarh.2012.66.283-284

Cited by 2 publications

(2 citation statements)

References 5 publications

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“…As with any vascular repair surgery, revascularization of the peripheral vascular branches distal to the repair is critically important [6]. With celiac artery aneurysm repair, blood flow to organs supplied by the left gastric artery, common hepatic artery, and splenic artery should be verified to prevent ischemic damage [7]. Fortunately, anastomotic vessels between the celiac artery and the superior mesenteric artery provide collateral flow to most organs supplied directly by the celiac artery [8].…”

Section: Discussionmentioning

confidence: 99%

Celiac Artery Aneurysm: A Rare Cause of Abdominal Pain

Campbell,

Tamaska,

Medlenov

et al. 2023

Cureus

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We present the case of a 48-year-old male who presented to the emergency department with left-sided abdominal pain of four-day duration. The pain was described as sharp in nature and was located in the left lower quadrant with radiation to the left shoulder.A computerized tomography (CT) scan of the abdomen and pelvis without contrast showed celiac artery enlargement with adjacent inflammatory stranding. There were other chronic findings secondary to prior surgery. A CT angiogram of the abdomen and pelvis was performed, which showed a 10 x 5 mm saccular pseudoaneurysm at the posterior aspect of the celiac trunk with surrounding inflammatory changes. Endovascular repair was accomplished in the operating room after the placement of the stent graft. Repeat angiogram showed successful exclusion of the aneurysm, with excellent perfusion to the arteries distal to the site of repair. The patient was successfully discharged two days later with outpatient follow-up. Celiac artery aneurysms can present to the emergency department with abdominal pain. The detection of celiac artery aneurysms may be increasing due to increased detection on CT scans. Although rare, this type of visceral artery aneurysm carries a high mortality rate if ruptured. Surgical repair may be either through an endovascular approach or through open surgical repair of the aneurysm preferably with prosthetic grafts.

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Section: Discussionmentioning

confidence: 99%

Celiac Artery Aneurysm: A Rare Cause of Abdominal Pain

Campbell,

Tamaska,

Medlenov

et al. 2023

Cureus

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“…Although the endovascular skill could deal with a few celiac aneurysms, chiefly in the simple hepatic aneurysm or the splenic aneurysm, sometimes in the superior mesenteric aneurysm [12][13][14], there is no report of success treatment only by using endovascular intervention on the patients with celiomesenteric trunk aneurysm. As the four affiliated branches (i.e., hepatic artery, splenic artery, left gastric artery, SMA) come from the same aneurysm, there is no available or suitable bifurcated stent there or four branches for endovascular intervention presently.…”

Section: Discussionmentioning

confidence: 99%

Surgical treatment of celiomesenteric trunk aneurysm-7 case report

Wang¹,

Cai

Liang³

et al. 2014

Bio-Medical Materials and Engineering

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The celiomesenteric trunk is a rare anomaly characterized by a common origin of the celiac axis and superior mesenteric artery from the aorta, which accounts for less than 1% of all celiac artery anomalies, so the aneurysm occurred in such trunk is even rarer. There have been few reports on how to diagnose and deal with such malformed celiomesenteric trunk aneurysms till now. This paper tries to summarize the experience of how to expose and excise such kind of aneurysm according to the seven cases' data. The clinic data were collected retrospectively. There were seven cases with celiomesenteric trunk aneurysm from February 2000 to February 2013, including 5 males and 2 females aged 35~62. The operations were done including aneurysm resection and vascular reconstruction under general anesthesia. The operated patients were followed-up at the sixth month and each year post operation. The vascular stomas were detected or examined by Color Doppler Sonography, spiral Computed Tomography angiography (SCTA). The seven operated patients were cured and discharged from hospital, and they were followed up for 3~10 years (mean time 5 years), with four patients being followed up longer than 5 years. No sign of intestinal ischemia or hepatic ischemia or splenic ischemia was found, and no image of anastomosis stricture or stenosis was found during the follow-up. Five patients are alive now while two patients were dead, with one dying of large area myocardial infarction unexpectedly at 6 years post operation and the other dying of cerebral infarction abruptly at 4 years post operation. It is an effective and safe method to treat the celiomesenteric trunk aneurysm by using by-pass operation with artificial blood vessels, originating from inferior kidney aorta to visceral arteries including hepatic artery, splenic artery and superior mesenteric artery. Its short-term and middle-term effects are relatively better.

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Celiac Artery Aneurysm

Cited by 2 publications

References 5 publications

Celiac Artery Aneurysm: A Rare Cause of Abdominal Pain

Celiac Artery Aneurysm: A Rare Cause of Abdominal Pain

Surgical treatment of celiomesenteric trunk aneurysm-7 case report

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