James Elliott,Toby Cohen ,
Rupture of a Rare Celiomesenteric Trunk Aneurysm following Mechanical Fall
Case Reports and Series in Surgery
2020
2733-2241
http://dx.doi.org/10.31487/j.CRSS.2020.01.03
https://www.sciencerepository.org/rupture-of-a-rare-celiomesenteric-trunk-aneurysm-following_CRSS-2020-1-103 
Abstract: 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.
Keywords: Celiomesenteric, aneurysm, rupture, splanchnic, surgery