Clinical Presentation, Etiology, Diagnostic Considerations, Treatment, and Results

Huang, Ying; Souza, Leonardo Reis de; Oderich, Gustavo S.; Stone, William M.

doi:10.1007/978-1-4939-1847-8_34

Cited by 1 publication

(8 citation statements)

References 44 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…These imaging studies primarily include duplex ultrasound (DUS), and CTA among others. 2 These splanchnic artery aneurysms are classified according to their anatomical locations, with 60% found in the splenic artery and 5.5% in the SMA. 10 Aneurysms involving the CMT are even rarer.…”

Section: Discussionmentioning

confidence: 99%

“…15 In symptomatic patients, especially those with a pulsatile abdominal mass, prompt evaluation with either noninvasive imaging studies such as DUS, CTA or magnetic resonance angiography (MRA), or contrast arteriography should be done. 2 Signs found on US include a dilated artery and thickened wall with the possible presence of atherosclerotic plaque or thrombus. In addition to its convenience and noninvasiveness, ultrasonography also enables morphological assessment of the wall and sac of the aneurysm and the hemodynamic evaluation of blood flow in their region.…”

Section: Diagnosismentioning

confidence: 99%

“…4,6 Although endovascular approach includes either coil embolization or stenting, coil embolization is a more used technique as it has shown promising success rates when used and has a wider applicability. 2,3,16 Although percutaneous transcatheter coil embolization techniques have shown a success rate ranging from 96% to 98%, 1,2,8 endovascular approach can still present with its own complications that include visceral ischemia caused by sacrifice of the involved visceral artery, coil migration with resultant embolization of nontreated artery, end-organ thrombosis, vessel recanalization, persistence of the aneurysm, stent thrombosis, or restenosis. 2…”

Section: Managementmentioning

confidence: 99%

“…Representing an incidence rate of just over 0.1%-2% in the general population, visceral artery aneurysms (VAAs) are rare. 2 Although rare, mortality still ranges from 10% to 90% after rupture depending on the location and size of the aneurysm. 2,3 Most VAAs are splenic artery aneurysms (SAAs) accounting for 60%, while superior mesenteric artery aneurysms (SMAAs) and celiac artery aneurysms (CAAs) represent 5% and 4%, respectively, of VAAs.…”

Section: Introductionmentioning

confidence: 99%

“…2 Although rare, mortality still ranges from 10% to 90% after rupture depending on the location and size of the aneurysm. 2,3 Most VAAs are splenic artery aneurysms (SAAs) accounting for 60%, while superior mesenteric artery aneurysms (SMAAs) and celiac artery aneurysms (CAAs) represent 5% and 4%, respectively, of VAAs. 2 Aneurysms involving the celiacomesenteric trunk are even rarer with only 20 cases having been reported in literature.…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Celiacomesenteric trunk associated with superior mesenteric artery aneurysm: A case report and review of literature

Alam

Kamareddine

Geahchan

et al. 2020

SAGE Open Medical Case Reports

View full text Add to dashboard Cite

In rare cases, the celiac artery and the superior mesenteric artery arise from a common origin known as a common celiacomesenteric trunk. Celiac trunk stenosis or occlusion has been reported to accompany this anatomical aberrancy. Even rarer, are aneurysms associated with this common celiacomesenteric trunk. In general, visceral artery aneurysms are uncommon. We hereby present a 39-year-old female patient with a 1-month history of mild diffuse abdominal pain, with an incidental finding of superior mesenteric artery aneurysm on abdominal ultrasound. Subsequent contrast-enhanced computed tomography revealed severe narrowing of the celiac trunk and saccular aneurysmal dilatation of the superior mesenteric artery. Coil embolization of the aneurysm was performed, while maintaining persistent flow in the superior mesenteric artery and celiacomesenteric trunk. Visceral artery aneurysms are increasingly being identified incidentally with improvement in imaging techniques. The question lies whether to treat these aneurysms or observe. No universal guidelines exist regarding that matter, but the decision to intervene is made based on aneurysm location, size, and patient characteristics.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Diagnosismentioning

confidence: 99%