Symptomatic celiomesenteric trunk: Variable presentations and outcomes in 2 patients

Michael L. Kueht, Darrel L. Wu, Joseph L Mills, Ramyar Gilani

Research output: Contribution to journalArticle

Abstract

Mesenteric ischemia can be difficult to diagnose without a high degree of suspicion because it presents in a variety of ways. Visceral vascular collaterals between the fore- and midgut often provide protection against ischemia; however, the presence of anatomic variations, such as celiomesenteric trunk, can undermine the expected redundancy. Misdiagnosis can result in prolonged suffering or death, as evidenced in 2 of our patients with celiomesenteric trunk. The first patient with chronic mesenteric ischemia was diagnosed in the clinic and underwent successful surgical correction; the other had overwhelming, acute mesenteric ischemia, which resulted in death. Our cases show that successful diagnosis and management of mesenteric ischemia require astute interpretation of radiologic images.

Original languageEnglish (US)
Pages (from-to)35-38
Number of pages4
JournalTexas Heart Institute Journal
Volume45
Issue number1
DOIs
StatePublished - Feb 1 2018
Externally publishedYes

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Keywords

  • Celiac artery/abnormalities/pathology
  • Chronic disease
  • Mesenteric ischemia/complications/diagnosis/surgery
  • Mesenteric vascular occlusion/diagnosis
  • Mesentery/blood supply
  • Tomography
  • Treatment outcome
  • Vascular diseases/diagnostic imaging
  • Viscera/blood supply
  • X-ray computed

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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