Mammano Enzo, Cosci Marco, Zanon Antonio, Picchi Gianfranco, Tessari Emanvela, Pilati Pierluigi, Nitti Donato
Department of Oncological and Surgical Sciences, University of Padova, Padova, Italy.
Ann Vasc Surg. 2009 Mar;23(2):257.e7-10. doi: 10.1016/j.avsg.2008.08.015. Epub 2008 Sep 21.
A celiomesenteric trunk (CMT) is an extremely rare anatomic variant that consists of celiac and superior mesenteric arteries having a common origin from the aorta. CMT accounts for less than 1% of all splanchnic artery anomalies. Aneurysm involving a CMT is an even rarer vascular abnormality, and, to our knowledge, only eight cases of CMT aneurysm have been reported in literature. We describe a case of the incidental finding of CMT aneurysm in an asymptomatic patient. It was found after dorsolumbar column radiography and successive computed tomography and arteriography confirmed the diagnosis. Even if asymptomatic, we decided to repair it surgically with aneurysmectomy and suture of the neck due to risk of rupture.
腹腔肠系膜干（CMT）是一种极其罕见的解剖变异，由腹腔干和肠系膜上动脉共同起源于主动脉组成。CMT在所有内脏动脉异常中占比不到1%。涉及CMT的动脉瘤是一种更为罕见的血管异常，据我们所知，文献中仅报道了8例CMT动脉瘤病例。我们描述了一例在无症状患者中偶然发现CMT动脉瘤的病例。它是在胸腰椎X线摄影后发现的，随后的计算机断层扫描和血管造影证实了诊断。即使无症状，由于存在破裂风险，我们还是决定通过动脉瘤切除术和颈部缝合进行手术修复。
