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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...

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Autores principales: Boukoucha, Mabrouka, Yahmadi, Abdelwahed, Znaidi, Hakim, Ben Khelifa, Raoudha, Daghfous, Alifa
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2020
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.
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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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