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Spontaneous celiacomesenteric trunk dissection: Case report
INTRODUCTION: The celiacomesenteric trunk (CMT) is one of the most striking among the different variations of the normal vascularisation of the gastro-intestinal tract. It is often accidentally discovered during autoptical dissections, angiography or abdominal computed tomography (CT). CASE PRESENTA...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7256209/ https://www.ncbi.nlm.nih.gov/pubmed/32446992 http://dx.doi.org/10.1016/j.ijscr.2020.04.103 |
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author | Boukoucha, Mabrouka Yahmadi, Abdelwahed Znaidi, Hakim Ben Khelifa, Raoudha Daghfous, Alifa |
author_facet | Boukoucha, Mabrouka Yahmadi, Abdelwahed Znaidi, Hakim Ben Khelifa, Raoudha Daghfous, Alifa |
author_sort | Boukoucha, Mabrouka |
collection | PubMed |
description | INTRODUCTION: The celiacomesenteric trunk (CMT) is one of the most striking among the different variations of the normal vascularisation of the gastro-intestinal tract. It is often accidentally discovered during autoptical dissections, angiography or abdominal computed tomography (CT). CASE PRESENTATION: A 27-year-old man was admitted to emergency for an acute abdominal pain. For his critical condition, the patient was immediately brought to the operating room. A extensive intestinal necrosis was found. Post-operator CT discovered a common CMT that is complicated by extended thrombosis. Despite all resuscitation measures, the patient died of septic shock two days later. An autopsy was performed showed that the main cause of intestinal ischemia was related to dissection of a common CMT. DISCUSSION: A CMT is a highly unusual variation in humans. It is usually asymptomatic and may be discovered incidentally during vascular surgery, radiologic imaging, or cadaver's dissection. Lesion of this entity can lead to serious gastrointestinal complications including necrosis. Different classifications are proposed in the literature. CONCLUSION: As it is associated with the risk of mesenteric ischaemia, CMT should be kept in mind as a differential diagnosis for cases of recurrent non-specific abdominal pain. |
format | Online Article Text |
id | pubmed-7256209 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-72562092020-06-01 Spontaneous celiacomesenteric trunk dissection: Case report Boukoucha, Mabrouka Yahmadi, Abdelwahed Znaidi, Hakim Ben Khelifa, Raoudha Daghfous, Alifa Int J Surg Case Rep Article INTRODUCTION: The celiacomesenteric trunk (CMT) is one of the most striking among the different variations of the normal vascularisation of the gastro-intestinal tract. It is often accidentally discovered during autoptical dissections, angiography or abdominal computed tomography (CT). CASE PRESENTATION: A 27-year-old man was admitted to emergency for an acute abdominal pain. For his critical condition, the patient was immediately brought to the operating room. A extensive intestinal necrosis was found. Post-operator CT discovered a common CMT that is complicated by extended thrombosis. Despite all resuscitation measures, the patient died of septic shock two days later. An autopsy was performed showed that the main cause of intestinal ischemia was related to dissection of a common CMT. DISCUSSION: A CMT is a highly unusual variation in humans. It is usually asymptomatic and may be discovered incidentally during vascular surgery, radiologic imaging, or cadaver's dissection. Lesion of this entity can lead to serious gastrointestinal complications including necrosis. Different classifications are proposed in the literature. CONCLUSION: As it is associated with the risk of mesenteric ischaemia, CMT should be kept in mind as a differential diagnosis for cases of recurrent non-specific abdominal pain. Elsevier 2020-05-21 /pmc/articles/PMC7256209/ /pubmed/32446992 http://dx.doi.org/10.1016/j.ijscr.2020.04.103 Text en © 2020 The Authors. Published by Elsevier Ltd on behalf of IJS Publishing Group Ltd. http://creativecommons.org/licenses/by/4.0/ This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Boukoucha, Mabrouka Yahmadi, Abdelwahed Znaidi, Hakim Ben Khelifa, Raoudha Daghfous, Alifa Spontaneous celiacomesenteric trunk dissection: Case report |
title | Spontaneous celiacomesenteric trunk dissection: Case report |
title_full | Spontaneous celiacomesenteric trunk dissection: Case report |
title_fullStr | Spontaneous celiacomesenteric trunk dissection: Case report |
title_full_unstemmed | Spontaneous celiacomesenteric trunk dissection: Case report |
title_short | Spontaneous celiacomesenteric trunk dissection: Case report |
title_sort | spontaneous celiacomesenteric trunk dissection: case report |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7256209/ https://www.ncbi.nlm.nih.gov/pubmed/32446992 http://dx.doi.org/10.1016/j.ijscr.2020.04.103 |
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