Rupture of a Rare Celiomesenteric Trunk Aneurysm following Mechanical Fall

Author Info

James Elliott Toby Cohen

Corresponding Author

James Elliott
Principal House Officer/Unaccredited Registrar in Vascular Surgery, Princess Alexandra Hospital, Woolloongabba, Queensland, Australia

A B S T R A C T

A celiomesenteric trunk (CMT) is an anatomical variation involving a common origin of the celiac trunk (CT) and the superior mesenteric artery (SMA). The prevalence of a celiomesenteric trunk anatomic variation has been found to be in the region of 3.4% but the incidence of aneurysms in this particular visceral artery are unknown [1]. There are only 20 cases of a celiomesenteric anomaly with an associated aneurysm documented in the last 35 years [2]. This article describes the emergency management of such an aneurysm in a frail 65-year-old female who knew about her aneurysm and was considering a recommendation for elective repair. On this occasion, the aneurysm ruptured (see figure 1) after a mechanical fall down some stairs at home. This difficult case was successfully managed with open repair and a 6mm Dacron interposition graft was sutured end-to-end with continuous 6/0 prolene from the SMA-CT common origin to the bifurcation into Splenic Artery and Common Hepatic Artery. She was discharged on post-operative day four. At her two month follow up appointment she had made an impressive recovery with no complications.

Article Info

Article Type

Case Report

Publication history

Received: Wed 08, Jan 2020
Accepted: Wed 22, Jan 2020
Published: Thu 30, Jan 2020

Copyright

© 2023 James Elliott. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Hosting by Science Repository.
DOI: 10.31487/j.CRSS.2020.01.03