Cargando…

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...

Descripción completa

Detalles Bibliográficos
Autores principales: Saha, Priyanka, Rachapalli, Keerthika Reddy, Bhat B, Rajeshwari, Ansari, Waqar Ahmed, Ansari, Asif, Desai, Hridayanath
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2021
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
_version_ 1783706222477705216
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
work_keys_str_mv AT sahapriyanka subacuteduodenalobstructioncausedbycommonceliacomesenterictrunkanomalyacasereport
AT rachapallikeerthikareddy subacuteduodenalobstructioncausedbycommonceliacomesenterictrunkanomalyacasereport
AT bhatbrajeshwari subacuteduodenalobstructioncausedbycommonceliacomesenterictrunkanomalyacasereport
AT ansariwaqarahmed subacuteduodenalobstructioncausedbycommonceliacomesenterictrunkanomalyacasereport
AT ansariasif subacuteduodenalobstructioncausedbycommonceliacomesenterictrunkanomalyacasereport
AT desaihridayanath subacuteduodenalobstructioncausedbycommonceliacomesenterictrunkanomalyacasereport