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Subacute duodenal obstruction caused by Common Celiaco-Mesenteric Trunk anomaly-A case report
INTRODUCTION AND IMPORTANCE: The origin of the mesenteric vasculature is highly variable. One such variation is the common celiaco-mesenteric trunk (CMT). To our knowledge, this is the first reported case of subacute duodenal obstruction caused by common CMT. The awareness of this anomaly helps keep...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8193349/ https://www.ncbi.nlm.nih.gov/pubmed/34118527 http://dx.doi.org/10.1016/j.ijscr.2021.106043 |
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author | Saha, Priyanka Rachapalli, Keerthika Reddy Bhat B, Rajeshwari Ansari, Waqar Ahmed Ansari, Asif Desai, Hridayanath |
author_facet | Saha, Priyanka Rachapalli, Keerthika Reddy Bhat B, Rajeshwari Ansari, Waqar Ahmed Ansari, Asif Desai, Hridayanath |
author_sort | Saha, Priyanka |
collection | PubMed |
description | INTRODUCTION AND IMPORTANCE: The origin of the mesenteric vasculature is highly variable. One such variation is the common celiaco-mesenteric trunk (CMT). To our knowledge, this is the first reported case of subacute duodenal obstruction caused by common CMT. The awareness of this anomaly helps keep a high index of suspicion for varied presentations, prompts appropriate investigations, timely intervention, and avoids iatrogenic injury. PATIENT PROFILE: A 15-year-old boy presented with a history of repeated attacks of colicky abdominal pain with bilious vomiting. Computed tomography of the abdomen with intravenous contrast revealed subacute duodenal obstruction caused by an acute angulation of common CMT with the abdominal aorta. To relieve the obstruction, the patient underwent a side-to-side duodenojejunostomy. DISCUSSION: A common CMT, where the coeliac artery (CA) and superior mesenteric artery (SMA) have a common origin from the aorta, accounts for less than 1% of all splanchnic artery anomalies. Most CMTs are incidental findings, but aneurysm or dissection of the common trunk commonly accompany this anatomical aberrancy. Intestinal obstruction due to CMT anomaly is a rare occurrence. CONCLUSION: There should be a high index of suspicion concerning vascular anomalies in patients, especially children presenting with repeated episodes of subacute intestinal obstruction. This knowledge of vascular aberrations prevents disastrous iatrogenic complications. |
format | Online Article Text |
id | pubmed-8193349 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-81933492021-06-21 Subacute duodenal obstruction caused by Common Celiaco-Mesenteric Trunk anomaly-A case report Saha, Priyanka Rachapalli, Keerthika Reddy Bhat B, Rajeshwari Ansari, Waqar Ahmed Ansari, Asif Desai, Hridayanath Int J Surg Case Rep Case Report INTRODUCTION AND IMPORTANCE: The origin of the mesenteric vasculature is highly variable. One such variation is the common celiaco-mesenteric trunk (CMT). To our knowledge, this is the first reported case of subacute duodenal obstruction caused by common CMT. The awareness of this anomaly helps keep a high index of suspicion for varied presentations, prompts appropriate investigations, timely intervention, and avoids iatrogenic injury. PATIENT PROFILE: A 15-year-old boy presented with a history of repeated attacks of colicky abdominal pain with bilious vomiting. Computed tomography of the abdomen with intravenous contrast revealed subacute duodenal obstruction caused by an acute angulation of common CMT with the abdominal aorta. To relieve the obstruction, the patient underwent a side-to-side duodenojejunostomy. DISCUSSION: A common CMT, where the coeliac artery (CA) and superior mesenteric artery (SMA) have a common origin from the aorta, accounts for less than 1% of all splanchnic artery anomalies. Most CMTs are incidental findings, but aneurysm or dissection of the common trunk commonly accompany this anatomical aberrancy. Intestinal obstruction due to CMT anomaly is a rare occurrence. CONCLUSION: There should be a high index of suspicion concerning vascular anomalies in patients, especially children presenting with repeated episodes of subacute intestinal obstruction. This knowledge of vascular aberrations prevents disastrous iatrogenic complications. Elsevier 2021-05-26 /pmc/articles/PMC8193349/ /pubmed/34118527 http://dx.doi.org/10.1016/j.ijscr.2021.106043 Text en © 2021 The Authors https://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 | Case Report Saha, Priyanka Rachapalli, Keerthika Reddy Bhat B, Rajeshwari Ansari, Waqar Ahmed Ansari, Asif Desai, Hridayanath Subacute duodenal obstruction caused by Common Celiaco-Mesenteric Trunk anomaly-A case report |
title | Subacute duodenal obstruction caused by Common Celiaco-Mesenteric Trunk anomaly-A case report |
title_full | Subacute duodenal obstruction caused by Common Celiaco-Mesenteric Trunk anomaly-A case report |
title_fullStr | Subacute duodenal obstruction caused by Common Celiaco-Mesenteric Trunk anomaly-A case report |
title_full_unstemmed | Subacute duodenal obstruction caused by Common Celiaco-Mesenteric Trunk anomaly-A case report |
title_short | Subacute duodenal obstruction caused by Common Celiaco-Mesenteric Trunk anomaly-A case report |
title_sort | subacute duodenal obstruction caused by common celiaco-mesenteric trunk anomaly-a case report |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8193349/ https://www.ncbi.nlm.nih.gov/pubmed/34118527 http://dx.doi.org/10.1016/j.ijscr.2021.106043 |
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