Volume: 12 Issue: 2
Year: 2024, Page: 75-78, Doi: https://doi.org/10.47799/pimr.1202.14
Received: April 3, 2024 Accepted: April 25, 2024 Published: July 13, 2024
The Coeliaco-mesenteric trunk, characterized by the shared origin of the coeliac trunk and the superior mesenteric artery, represents a rare but clinically important anatomical variation within the abdominal vasculature. Knowledge of variations of the abdominal vascular system and their origins is of great importance to surgeons to ensure optimal patient outcomes and also to mitigate the potential complications that may arise due to this lack of knowledge.
Present case: During routine dissection for 1st year MBBS (2022-23), of the abdominal region of a 60 year-old male cadaver, there was an unusual presentation of multiple blood vessels at the level of origin of the coeliac trunk.
Upon further dissection, the superior mesenteric artery was found to be originating from this group of arteries. This artery was found to be passing through mesentery upto transverse colon. No other distinct blood vessel was found at the level where the superior mesenteric artery usually originates.
Conclusion: This case underscores the importance of thorough pre-operative assessment and awareness of anatomical anomalies to facilitate safe and effective management strategies.
Keywords: Abdominal Vasculature, Coeliac Trunk, Coeliaco-mesenteric trunk, Superior Mesenteric Artery
Sadler, T W . 2013. Cardiovascular system. In: Langman’s Medical Embryology (12th). (pp. 188-189) Baltimore: Wolters Kluwer:Lippincott Williams & Wilkins
Standring . 2008. Posterior Abdominal wall and Retroperitonium. In: Gray’s Anatomy – The anatomical basis of Clinical Practice. (40th). (pp. 1073-1074) London: Elsevier Limited
Datta, A K . 2000. Abdomen and it's walls. In: Essentials of Human Anatomy (Thorax and Abdomen) Part 1 (5th). (pp. 157-160) Calcutta: Current Books International
Koshariya, M, Khare, V & Songra, M C . 2021. Anomalous Anatomical Variations of Coeliac Trunk: A Cadaveric Study. Cureus 13(10): e19108.
Tang, W, Shi, J, Kuang, L Q, Tang, S Y & Wang, Y . 2019. Celiomesenteric trunk: New classification based on multidetector computed tomography angiographic findings and probable embryological mechanisms. World J Clin Cases 7(23):3980–3989.
Panagouli, E, Venieratos, D, Lolis, E & Skandalakis, P . 2013. Variations in the anatomy of the celiac trunk: a systematic review and clinical implications. Ann Anat 195:501–512.
Babu, Ramesh, Joshi, C S, Gupta, S, Gupta, K K & O P . 2015. Celiacomesenteric trunk and its variants: a multidetector row computed tomographic study. J Anat Soc India 64(1):32–41.
Rammohan, A, Sathyanesan, J, Palaniappan, R & Govindan, M . 2013. Transpancreatic hepatomesenteric trunk complicating pancreaticoduodenectomy. JOP 14(6):649–52.
DuPlessis & . 1999. Collateral Circulation. In: Lee McGregor’s A Synopsis of Surgical Anatomy. ( 12th ). (pp. 226-227) Bombay: Varghese Publishing House
Iqbal, S & Chaudhary, M . 2021. Median arcuate ligament syndrome (Dunbar syndrome) . Cardiovasc Diagn Ther. 11(5):1172–1176.
©2024 (Prashanth Kumar Madoori) et al. This is an open-access journal, and articles are distributed under the terms of the Creative Commons Attribution License CC-BY 4.0. (https://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original authors and source are credited.
Vamshi V, Naidu P V, Jyoti Phukan M, DuƩa R. Coeliaco-Mesenteric Trunk– A Rare Anomaly of the Coeliac Trunk. Perspecives in Medical Research. 2024;12(2):75-78 DOI: 10.47799/pimr.1202.14