Aneurysm of the Gastroduodenal Artery Associated with Absence of the Celiac Axis: Report of a Case

Iyori, Keiji; Horigome, Masatoshi; Yumoto, Shunichi; Yamadera, Yoichi; Saigusa, Yoshibumi; Iida, F; Matsubara, Hirochika; Ariizumi, Kenji; Hashimoto, Ryoichi

doi:10.1007/s00595-003-2698-9

Cited by 20 publications

(16 citation statements)

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“…Atherosclerosis is the main predisposing factor, while trauma, ulcer disease, pancreatitis, and stenosis of the superior mesenteric artery may also be the cause [1,7]. Other uncommon etiologies are autoimmune diseases and absence of the celiac axis [6,8].…”

Section: Discussionmentioning

confidence: 99%

Stenting of a gastroduodenal artery aneurysm: report of a case

et al. 2011

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We present a case of gastroduodenal artery stenting in a patient with recurrent episodes of pancreatitis due to gastroduodenal artery aneurysm. Stenting was performed under local anesthesia using a 6 × 38-mm primary covered Advanta V12 vascular stent graft. The procedure was successful and the patient is asymptomatic 21 months later. Endovascular treatment of gastroduodenal artery aneurysm should be considered a promising alternative to open surgery, due to lower mortality and morbidity.

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Section: Discussionmentioning

confidence: 99%

Stenting of a gastroduodenal artery aneurysm: report of a case

et al. 2011

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“…In this case, it is possible that stenosis of SMA may divert blood flow into the GaDu through the celiac and this may lead to aneurysm formation and rupture (Iyori et al, 2004).…”

Section: Discussionmentioning

confidence: 99%

Variations in the Branching Pattern of the Celiac Trunk in a Kenyan Population

et al. 2010

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SUMMARY:The celiac trunk is the major source of blood supply to the supracolic abdominal compartment. Usually, it branches into the splenic, common hepatic and left gastric arteries to supply this region. It has however been shown to display ethnic variations in its branching pattern. Knowledge of these variations may be important in surgical and radiological procedures around the head of the pancreas. The aim was to illustrate the commonest variations in the branching pattern of the celiac trunk in a Kenyan population. The study was conducted in the Department of Human Anatomy, University of Nairobi. Were collected one hundred twenty three (123) bodies obtained from dissection cadavers and autopsy cases following ethical approval and consent from next of kin. Gross dissection of the anterior abdominal wall using an extended midline incision and retraction of the liver and stomach was performed. The celiac trunk was trifurcated in 76 (61.7%), bifurcated in 22 (17.9%) and gave collaterals in 25 (20.3%). Dorsal pancreatic artery was the most common collateral and occurred in 14.8%. Other branches included gastroduodenal and inferior phrenic arteries present in 3.3% and 4.9% respectively. The Kenyan population has a higher incidence of bifurcation and collateral branching of the celiac trunk hence need for caution during surgical procedures of the supracolic abdominal compartment.

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“…Clinically, several reports of the radiologic description of this variation have been published (Iyori et al, 2004;Armstrong and Franklin, 2006), but these reports do not show the variation in which the classical three branches of the CT arise directly from the abdominal aorta. However, thorough knowledge of CT variations, especially this particular variation, has clinical importance in the successful treatment of abdominal aortic aneurysm (Iyori et al, 2004;Armstrong and Franklin, 2006;Teng et al, 2006), although coincidence of congenital abdominal aortic aneurysm and absence of the CT is extremely rare.…”

Section: Discussionmentioning

confidence: 95%

“…However, thorough knowledge of CT variations, especially this particular variation, has clinical importance in the successful treatment of abdominal aortic aneurysm (Iyori et al, 2004;Armstrong and Franklin, 2006;Teng et al, 2006), although coincidence of congenital abdominal aortic aneurysm and absence of the CT is extremely rare. Vascular control of the upper abdominal aorta is useful in patients with significant intraperitoneal bleeding caused by a ruptured aortic aneurysm (Lin and Chaikof, 2000), which require preoperative complete angiographic visualization of the visceral vessels.…”

Section: Discussionmentioning

confidence: 97%

Absence of the celiac trunk: Case report and review of the literature

Terayama

Naito

et al. 2008

Clinical Anatomy

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The authors report a rare variation of the absence of the celiac trunk in a Japanese cadaver, with the left gastric, splenic, common hepatic, and superior mesenteric arteries arising independently from the abdominal aorta in the routine dissection of a 95-year-old Japanese male cadaver. The incidence and developmental and clinical significance of this variation is discussed with a detailed review of the literature. Knowledge of such case has important clinical significance in an abdominal operation or invasive arterial procedure, that is, Appleby procedure and liver transplantation, laparoscopic surgery, and radiological procedures in the upper abdomen.

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Aneurysm of the Gastroduodenal Artery Associated with Absence of the Celiac Axis: Report of a Case

Cited by 20 publications

References 10 publications

Stenting of a gastroduodenal artery aneurysm: report of a case

Stenting of a gastroduodenal artery aneurysm: report of a case

Variations in the Branching Pattern of the Celiac Trunk in a Kenyan Population

Absence of the celiac trunk: Case report and review of the literature

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