Symptomatic Celiomesenteric Trunk: Variable Presentations and Outcomes in 2 Patients.

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.

journal_name

Tex Heart Inst J

authors

Kueht ML,Wu DL,Mills JL,Gilani R

doi

10.14503/THIJ-16-6155

subject

Has Abstract

pub_date

2018-02-01 00:00:00

pages

35-38

issue

1

eissn

0730-2347

issn

1526-6702

journal_volume

45

pub_type

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