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- Title
Persistence of Abdominal Pain: Did You Check for Mesenteric Vessels?
- Authors
Piroddu, Jessica; Dore, Maria Pina; Pes, Giovanni Mario; Meloni, Pier Paolo; Manzoni, Giuseppe
- Abstract
The incidence of abnormalities regarding the celiac-mesenteric trunk (CMT) has been reported to be between 1% and 2.7%, whereas for visceral aneurysms the incidence is between 0.1% and 0.2% of the general population. Anatomical variations in the CMT may be the result of abnormal embryogenesis of the primitive segmental splanchnic arteries that supply the bowel and several abdominal organs. The clinical presentation may range from vague abdominal symptoms to aneurysm rupture with a significant mortality risk. In this case, we describe the clinical history of a 37-year-old man with postprandial abdominal pain likely related to the celiac-mesenteric trunk enlargement, associated with high resistance flow in the proximal site. Postprandial symptoms improved by avoiding large meals and surveillance for the CMT anomalies was recommended by cross-imaging including the echo-color-Doppler to assess blood flow modification.
- Subjects
ABDOMINAL pain; ABDOMINAL aortic aneurysms; SYMPTOMS; BLOOD flow; ANATOMICAL variation; MESENTERIC ischemia
- Publication
Medicina (1010660X), 2023, Vol 59, Issue 3, p442
- ISSN
1010-660X
- Publication type
Article
- DOI
10.3390/medicina59030442