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Review
. 2022 Nov-Dec;16(6):15579883221139369.
doi: 10.1177/15579883221139369.

Co-Existence of An Unusual Branching Pattern of Celiacomesenteric Trunk With Complete Common Mesentery in a 48-Year-Old Man: A Case Report

Fathia Harrabi  1 , Methnani Jabeur  2   3 , Ammar Houssem  1 , Mizouni Abdelkader  1 , Ben Latifa Mehdi  1 , Saiid Mohamed Amine  1 , Ben Mabrouk Mohamed  1 , Ben Ali Ali  1
Affiliations
Review

Co-Existence of An Unusual Branching Pattern of Celiacomesenteric Trunk With Complete Common Mesentery in a 48-Year-Old Man: A Case Report

Fathia Harrabi et al. Am J Mens Health. 2022 Nov-Dec.

Abstract

Celiacomesenteric trunk (CMT) refers to the common origin of celiac trunk and superior mesenteric artery which is a very rare anatomical variation. CMT is incidentally diagnosed during angiography or abdominal computed tomography scanning. The diagnosis of CMT may inform surgical practice and prevent damage during invasive radiologic procedures, lowering thus the rate of iatrogenic errors. Complete common mesentery is in its turn a rarer congenital anomaly that arises from an abnormal rotation of primitive small intestine during embryonic development. We report a case of a 48-year-old man, suffering from chronic abdominal pain, and postprandial discomfort. The patient underwent an abdominal contrast-enhanced computed tomography that detected a CMT associated with common complete mesentery. According to our review of bibliography, this is the first case report to simultaneously report both congenital anomalies (CMT and common complete mesentery). Furthermore, the CMT described here has not been described in previous classifications and represent a novel anatomical variation of CMT.

Keywords: Variation; celiac trunk; celiacomesenteric trunk; complete common mesentery; diagnostic imaging.

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Conflict of interest statement

The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Figures

Figure 1
Figure 1
The Arterial System Arising From the Celiacomesenteric Trunk AS = splenic artery; AHG = left hepatic artery; AHD = right hepatic artery; AMS = mesenteric superior artery; PD1 + DP2, PD3 = pancreaticoduodenal arteries arising from different origins.
Figure 2
Figure 2
Abdominal Enhanced—Contrast Computed Tomography Showing Common Complete Mesentery
Figure 3.
Figure 3.
Abdominal Enhanced—Contrast Computed Tomography Showing Common Complete Mesentery. Colon on the Left, Small Bowel on the Right, and Duodenum was Located Anterior to the Mesenteric Vessels
See this image and copyright information in PMC

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