Common Celiacomesenteric Trunk Research Articles

A common celiacomesenteric trunk is a rare anatomic variant in dogs.

With the increasing use of CT and MRI for diagnostic imaging and planning of interventional procedures, it is important for veterinary radiologists to be familiar with variations in normal vascular anatomy and not mistake them for pathology. The arterial blood supply to the cranial abdominal viscera is provided by the celiac and the cranial mesenteric arteries. A common celiacomesenteric trunk (CMT) has been reported as a rare anatomical variant in dogs. The goals of this retrospective, observational, cross-sectional prevalence study were to determine the prevalence of a CMT in dogs with non-abdominal disease and compare it to the prevalence in dogs with portosystemic shunts (PSS). Magnetic resonance imaging studies of the thoracolumbar and lumbosacral spine in dogs that included the origin of the celiac and cranial mesenteric arteries and dual-phase CT angiography studies of the abdomen in dogs with portosystemic shunts were retrospectively reviewed by a veterinary student and a board-certified veterinary radiologist. The prevalence of a CMT was determined as the proportion of dogs diagnosed with this vascular anomaly in the MRI and CT group, respectively. Fisher's exact test was used to determine any association of a CMT with the concurrent presence of a PSS, sex, and breed size. A CMT was identified in seven of 606 (1.2%) MRI studies and in none of 47 abdominal CT studies. There was no association between the presence of a CMT and PSS (P=1.000), sex (P=.4694), or breed size (P=1.000). A CMT is a rare incidental finding in dogs.

Subacute duodenal obstruction caused by Common Celiaco-Mesenteric Trunk anomaly-A case report.

Introduction and importanceThe origin of the mesenteric vasculature is highly variable. One such variation is the common celiaco-mesenteric trunk (CMT). To our knowledge, this is the first reported case of subacute duodenal obstruction caused by common CMT. The awareness of this anomaly helps keep a high index of suspicion for varied presentations, prompts appropriate investigations, timely intervention, and avoids iatrogenic injury.Patient profileA 15-year-old boy presented with a history of repeated attacks of colicky abdominal pain with bilious vomiting. Computed tomography of the abdomen with intravenous contrast revealed subacute duodenal obstruction caused by an acute angulation of common CMT with the abdominal aorta. To relieve the obstruction, the patient underwent a side-to-side duodenojejunostomy.DiscussionA common CMT, where the coeliac artery (CA) and superior mesenteric artery (SMA) have a common origin from the aorta, accounts for less than 1% of all splanchnic artery anomalies. Most CMTs are incidental findings, but aneurysm or dissection of the common trunk commonly accompany this anatomical aberrancy. Intestinal obstruction due to CMT anomaly is a rare occurrence.ConclusionThere should be a high index of suspicion concerning vascular anomalies in patients, especially children presenting with repeated episodes of subacute intestinal obstruction. This knowledge of vascular aberrations prevents disastrous iatrogenic complications.

A common celiacomesenteric trunk in pancreas transplantation. What we done?

A common celiacomesenteric trunk in pancreas transplantation. What we done?

Common celiaco-mesenteric trunk – A rare anatomic variation

Common celiaco-mesenteric trunk – A rare anatomic variation

Unusual formation and distribution of the superficial palmar arch – A case report

Celiacomesenteric trunk is a very rare vascular anomaly with a reported incidence of 0.54 %–3.4 % and represents the common trunk of origin of celiac and superior mesenteric arteries. The aim of the present study is to evaluate variations of the celiacomesenteric trunk by multidetector row computed tomography.We have retrospectively reviewed contrast enhanced computed tomographic scans of 682 patients and found celiacomesenteric trunk and its variants in 19 cases, 9 males and 10 females.The classical celiacomesenteric trunk, dividing into celiac and superior mesenteric arteries, was observed in 3 cases only. Hepatosplenomesenteric trunk with independent origin of left gastric artery from aorta was noted in 3 cases. In one case hepatomesenteric trunk with independent origin of splenic and left gastric arteries was noted. Nine cases exhibited hepatomesenteric and gastrosplenic trunks. Only in one case, the hepatosplenic and gastromesenteric trunks were seen. Two cases exhibited incomplete type of hepatomesenteric trunk not classified before. The most common celiacomesenteric trunk variant observed in this study is the hepatomesenteric trunk.Any pathology involving this single celiacomesenteric trunk can lead to catastrophic consequences jeopardizing the vascular supply of major abdominal organs. Thorough knowledge of these anatomical variants is of paramount importance to laparoscopic surgeons, interventional radiologists and clinicians alike for proper preprocedural planning to prevent any inadvertent injury to the variant arterial trunks.

Celiacomesenteric trunk and its variants a multidetector row computed tomographic study

IntroductionCeliacomesenteric trunk is a very rare vascular anomaly with a reported incidence of 0.54 %–3.4 % and represents the common trunk of origin of celiac and superior mesenteric arteries. The aim of the present study is to evaluate variations of the celiacomesenteric trunk by multidetector row computed tomography. MethodWe have retrospectively reviewed contrast enhanced computed tomographic scans of 682 patients and found celiacomesenteric trunk and its variants in 19 cases, 9 males and 10 females. ResultsThe classical celiacomesenteric trunk, dividing into celiac and superior mesenteric arteries, was observed in 3 cases only. Hepatosplenomesenteric trunk with independent origin of left gastric artery from aorta was noted in 3 cases. In one case hepatomesenteric trunk with independent origin of splenic and left gastric arteries was noted. Nine cases exhibited hepatomesenteric and gastrosplenic trunks. Only in one case, the hepatosplenic and gastromesenteric trunks were seen. Two cases exhibited incomplete type of hepatomesenteric trunk not classified before. The most common celiacomesenteric trunk variant observed in this study is the hepatomesenteric trunk. DiscussionAny pathology involving this single celiacomesenteric trunk can lead to catastrophic consequences jeopardizing the vascular supply of major abdominal organs. Thorough knowledge of these anatomical variants is of paramount importance to laparoscopic surgeons, interventional radiologists and clinicians alike for proper preprocedural planning to prevent any inadvertent injury to the variant arterial trunks.

Aorto-common Celiaco-Mesenteric Bypass for Chronic Mesenteric Angina

A common celiaco-mesenteric trunk is the rarest of the anatomical anomalies of Coeliac axis seen in 1-2% of patients. A 55-year-old male was admitted with postprandial angina for 2 months with significant weight loss. He underwent a successful retrograde infra renal aorta to common celiaco-mesenteric trunk bypass with expanded polytetrafluoroethylene graft. Postprocedure symptoms improved well during the follow-up period with good weight gain.

A Rare Anatomical Variation: A Case of a Common Celiacomesenteric Trunk in a Cat

In this study, we present a cat with a common 1-cm-long celiacomesenteric trunk. The arteria hepatica branched off first from the separate arteria celiaca and gave rise to the arteria gastrica dextra and arteria gastroduodenalis. The main stem of the arteria celiaca then split into the arteria gastrica sinistra and the arteria lienalis. The arteria mesenterica cranialis extended ventrocaudally in the mesentery. This variation is due to developmental changes in the ventral splanchnic arteries, and they are quite varied. The basic architecture and perfused organs are comparable, which indicates that the presence of a common celiacomesenteric trunk is more related to individual development than to phylogeny or function.

Successful treatment of a case of advanced sigmoid colon cancer with occlusion of the common celiacomesenteric trunk

Successful treatment of a case of advanced sigmoid colon cancer with occlusion of the common celiacomesenteric trunk

Common celiacomesenteric trunk: a rare anatomic variation

Common celiacomesenteric trunk, with the celiac and superior mesenteric arteries having a common origin from the aorta, is the least frequently reported anatomic variation of all abdominal vascular anomalies. Knowledge of variations concerning the celiac trunk and superior mesenteric artery are of great importance for both surgical approaches and angiographic examinations. Clinicians should keep in mind these variations to avoid complications.

A common celiacomesenteric trunk, and a brief review of the literature

The authors report a rare variation, a common celiacomesenteric trunk, which was observed during routine dissection of an 89-year-old Japanese female cadaver in the laboratory of the Anatomy Department. The trunk gave rise to left gastric, common hepatic, splenic and superior mesenteric arteries. The developmental significance of this variation is discussed with a brief review of the literature.

Common celiacomesenteric trunk: Aneurysmal and occlusive disease

Eighteen patients (14 men, 4 women), ages 24 to 77 years, with a common celiacomesenteric trunk (CMT) were treated between 1965 and 2004 at the University of Michigan. Four patients had CMT aneurysmal or occlusive disease that led to operative treatment. Pertinent arteriographic findings in these 4 patients included a CMT aneurysm (n = 2), an occluded proximal CMT (n = 1), and a type III aortic dissection that was compressing the CMT (n = 1). Therapy in these 4 patients included placement of a polytetrafluoroethylene bypass graft from the supraceliac aorta to the CMT (n = 2) or a Dacron bypass graft from a thoracoabdominal bypass to the CMT (n = 1), and endovascular fenestration of the septum between the true and false lumens of an aortic dissection at the level of the CMT (n = 1).

Mesenteric and celiac duplex scanning: a validation study

To validate the accuracy of previously established duplex ultrasound criteria for > or =50% superior mesenteric artery (SMA) and celiac artery (CA) stenosis by comparison with arteriography. Duplex criteria established retrospectively in our laboratory in 1991 identified an end-diastolic velocity (EDV) > or =45 cm/sec, or no flow signal, as highly sensitive (100%) and specific (92%) indicators for SMA stenosis > or =50% or occlusion. EDV was more accurate (95%) than peak systolic velocity (PSV), which had a maximal accuracy of 86% at a PSV > or =300 cm/sec, with low sensitivity (62%), but high specificity (100%). For CA, accurate velocity thresholds were not identified, but we subsequently noted that retrograde common hepatic artery flow direction from SMA collateral was highly predictive of severe CA stenosis or occlusion. Since publication of those findings, 243 mesenteric duplex scans were performed for clinical evaluation of suspected chronic mesenteric ischemia. Angiographic confirmation was available for a subset of 46. SMA and CA diameters were measured on lateral aortograms by observers blinded to the duplex results, and the original duplex diagnostic criteria were tested for accuracy. In addition, receiver operator characteristic curve analysis was performed on the velocity data to identify the most accurate velocity thresholds in the new data. Duplex was technically adequate in 98% of SMA, 96% of CA, and 89% of hepatic arteries, and arteriograms were adequate in 100% of SMA and 98% of CA. For the SMA, EDV > or =45 cm/sec again provided the best sensitivity (90%), specificity (91%), positive predictive value (90%), negative predictive value (91%), and overall accuracy (91%). As in the retrospective study, PSV > or =300 cm/sec provided low overall accuracy (81%), low sensitivity (60%), but high specificity (100%). Lowering the PSV threshold improved sensitivity but reduced accuracy. For CA, retrograde common hepatic artery flow direction was 100% predictive of severe CA stenosis or occlusion. Velocity data in CA provided accuracy not found in the original study. EDV > or =55 cm/sec or no flow signal had best overall accuracy (95%) with high sensitivity (93%) and specificity (100%). PSV > or =200 cm/sec or no signal also had excellent accuracy (93%), sensitivity (93%), and specificity (94%). In addition, three of four anatomic anomalies were correctly identified by duplex. These included one right hepatic and one common hepatic artery originating from the SMA, and one common celiacomesenteric trunk. This validation analysis confirms that duplex velocity criteria are accurate in the identification of mesenteric occlusive disease. Retrograde common hepatic artery flow direction correctly predicts severe CA stenosis or occlusion. Duplex ultrasound may also identify mesenteric anatomic variants that can influence study interpretation.