AnatomyDiseasesAnalytical, Diagnostic and Therapeutic Techniques and EquipmentPhenomena and Processes
Superior Mesenteric Artery SyndromeDuodenostomyDuodenal ObstructionJejunostomyMesenteric Artery, SuperiorEnterostomyCeliac ArteryAnterior Spinal Artery SyndromeMesenteric ArteriesDuodenumLaparoscopyTomography, X-Ray ComputedMesenteric Vascular OcclusionSplenic ArteryMesenteric Artery, InferiorInfarctionSyndromeSpinal Cord Vascular DiseasesHepatic ArterySplanchnic Circulation
SplenicEndovascular TreatmentMidgutInferior meseHepaticOrigin of the celiacArterialIschemiaDissectionVesselsOcclusionPerfusionDuodenumVeinNecrosisMesenteryInfarctionPatient'sAorticIleumOrgansSymptomsAortaBranchesPosteriorDiagnosisTerminalDiseasesPrimaryLiverDiseaseFindingsTreatmentCasesPatientsMiddleSurgery
Splenic5
  • In contrast to the drainage of midgut and hindgut structures by the superior mesenteric vein and inferior mesenteric vein respectively, venous return from the celiac artery is through either the splenic vein emptying into the hepatic portal vein or via smaller tributaries of the portal venous system. (wikipedia.org)
  • It courses anteroinferiorly before branching into the common hepatic, splenic, and left gastric arteries. (medscape.com)
  • The right gastroepiploic artery communicates with the left gastroepiploic artery, which is an immediate branch of the splenic artery. (medscape.com)
  • The splenic artery gives off the left gastroepiploic artery and the dorsal pancreatic artery, which supplies the body and tail of the pancreas and communicates with the anterosuperior pancreaticoduodenal and gastroduodenal arteries and, sometimes, the middle colic artery or SMA. (medscape.com)
  • In the arterial phase, the hepatic and splenic arteries were well defined, but the collateral pathways of the celiac and superior mesenteric arteries were unclear (Fig. 1 d). (biomedcentral.com)
Endovascular Treatment3
  • Chapter 49 - Endovascular Treatment of Visceral Artery Aneurysms", Endovascular Surgery (Fourth Edition), Philadelphia: W.B. Saunders, pp. 521-527, ISBN 978-1-4160-6208-0, retrieved 2021-01-13 Rectenwald, John E. (wikipedia.org)
  • Due to the persistent severe abdominal pain, short lesion of the celiac artery, which seemed relatively easy to treat endovascularly, and the absence of circulatory collapse due to aortic dissection, endovascular treatment of the celiac artery was performed as the first line of treatment in this case. (biomedcentral.com)
  • In patients with visceral malperfusion, hospital mortality after surgical/hybrid treatment was significantly lower than mortality after medical management and endovascular treatment. (biomedcentral.com)
Midgut2
  • Similarly, the superior mesenteric artery and inferior mesenteric artery feed structures arising from the embryonic midgut and hindgut respectively. (wikipedia.org)
  • Embryologically, the small intestine develops mainly from the midgut, with the superior mesenteric artery (SMA) as its artery. (medscape.com)
Inferior mese1
  • The inferior mesenteric vein (IMV) lies to its left. (medscape.com)
Hepatic3
  • Most blood returning from the digestive organs (including from the area of distribution of the celiac artery) is diverted to the liver via the portal venous system for further processing and detoxification in the liver before returning to the systemic circulation via the hepatic veins. (wikipedia.org)
  • The hepatic artery gives off the gastroduodenal artery, which branches further into the right gastroepiploic artery and the anterosuperior and posterosuperior pancreaticoduodenal arteries. (medscape.com)
  • Methods Circulating (n = 179) and hepatic expression (n = 95) of ghrelin and LEAP-2 were measured in patients with severe obesity and available liver pathology analysis undergoing Roux-en-Y gastric bypass (RYGB). (unav.edu)
Origin of the celiac1
  • it comes off as the second branch (the inferior mesenteric artery is its third branch) from the anterior surface of the abdominal aorta about 1 cm below the origin of the celiac trunk, at the level of L1 behind the neck of the pancreas. (medscape.com)
Arterial2
  • These dissections were isolated, apart from a minimal aortic dissection separate from the visceral arterial dissection in one case. (bvsalud.org)
  • In arterial mesenteric infarction, the superior mesenteric artery ("upper visceral artery"), which supplies large parts of the small intestine, large intestine and pancreas, is affected in 85 percent of cases. (bestitude.com)
Ischemia5
  • Chronic mesenteric ischemia (CMI) usually results from long-standing atherosclerotic disease of two or more mesenteric vessels. (medscape.com)
  • In 1958, Shaw and Maynard described the first thromboendarterectomy of the superior mesenteric artery (SMA) for the treatment of both acute mesenteric ischemia (AMI) and CMI. (medscape.com)
  • Mastery of the anatomy of the mesenteric vessels is essential to management of chronic mesenteric ischemia (CMI), although the wide array of vascular variations can make such mastery difficult to achieve. (medscape.com)
  • This communication is an important connection that helps maintain bowel perfusion in the setting of mesenteric ischemia. (medscape.com)
  • While there is a significant risk associated with visceral malperfusion, ischemia due to occlusion of the celiac artery alone is rare due to the presence of extensive collateral pathways in the mesenteric circulation. (biomedcentral.com)
Dissection10
  • We report three successive cases of visceral artery dissection: one patient with celiac trunk dissection and two with dissection of the superior mesenteric artery. (bvsalud.org)
  • The association between fluoroquinolone use and higher occurrence of aneurysm and dissection remains discussed in aortic syndrome. (bvsalud.org)
  • The potential link between FQ and visceral artery dissection is even less described but should be reported in the absence of previous cases in the literature. (bvsalud.org)
  • Malperfusion of the celiac artery alone, with acute aortic dissection, rarely requires early intervention. (biomedcentral.com)
  • A 57-year-old woman had thrombosed type A acute aortic dissection with celiac malperfusion, for which total arch replacement was performed after percutaneous balloon angioplasty of the celiac artery. (biomedcentral.com)
  • Visceral malperfusion associated with aortic dissection (AD) is a serious and sometimes life-threatening complication. (biomedcentral.com)
  • In this report, we describe a rare case of type A acute aortic dissection in which reperfusion of the celiac artery was performed before central repair. (biomedcentral.com)
  • However, the dissection extended to the celiac artery, which was severely stenotic or occluded (Fig. 1 b and c). (biomedcentral.com)
  • Therefore, aggressive surgical/hybrid treatment is necessary in cases of type A acute aortic dissection with visceral malperfusion. (biomedcentral.com)
  • Dr. Coselli is an innovator and a leader in his field and he is highly experienced in complex aortic repair, such as repair performed in patients with connective tissue disorders (such as Marfan and Loeys-Dietz syndromes), as well as emergent repair performed in patients with conditions such as acute aortic dissection or aortic rupture. (bcm.edu)
Vessels4
  • Mesenteric fat is abundant in the mesentery of the ileum, and vessels in the mesentery are, therefore, not well seen. (medscape.com)
  • In cystic fibrosis, the jejunum is where the mesentery vessels are well seen because much less mesenteric fat is present in the jejunum than in the ileum. (medscape.com)
  • Between the 2 leaves of the mesentery are the mesenteric vessels and lymph nodes. (medscape.com)
  • There were no abnormal findings in the neck vessels, superior mesenteric artery, or bilateral renal arteries. (biomedcentral.com)
Occlusion1
  • A mesenteric infarction describes the acute occlusion of an intestinal vessel which, if left untreated, leads to the death of sections of the intestine. (bestitude.com)
Perfusion1
  • The celiac artery is an essential source of blood, since the interconnections with the other major arteries of the gut are not sufficient to sustain adequate perfusion. (wikipedia.org)
Duodenum3
  • citation needed] The celiac artery supplies oxygenated blood to the liver, stomach, abdominal esophagus, spleen, and the superior half of both the duodenum and the pancreas. (wikipedia.org)
  • human embryo at six weeks The pancreas and duodenum from behind Arteries and veins around the pancreas and spleen Celiac artery compression syndrome Williams, Timothy K. (wikipedia.org)
  • The remaining 15 percent are divided equally between the celiac trunk ("stem of the abdominal cavity"), in whose supply area the stomach, liver, spleen and pancreas are located, as well as the duodenum, and the inferior mesenteric artery ("lower visceral artery"), which supplies the descending nourishes the colon and upper rectum. (bestitude.com)
Vein3
  • citation needed] The celiac artery is the only major artery that nourishes the abdominal digestive organs that does not have a similarly named vein. (wikipedia.org)
  • Several other surgical procedures have since been attempted, ranging from reimplantation of the visceral branch into the adjacent aorta to using an autogenous vein graft. (medscape.com)
  • More rarely, a mesenteric vein thrombosis is responsible for the mesenteric infarction. (bestitude.com)
Necrosis2
  • Thus it cannot be safely ligated in a living person, and obstruction of the celiac artery will lead to necrosis of the structures it supplies. (wikipedia.org)
  • If the mesenteric infarction is not diagnosed in time, the patient's condition deteriorates massively after about 12 hours due to advanced intestinal necrosis. (bestitude.com)
Mesentery2
  • Evaluation of the mesentery is often neglected during routine ultrasound (US) because of inadequate training and unfamiliarity with the common US features encountered with mesenteric disease. (sajr.org.za)
  • Secondary involvement of the mesentery from tumours elsewhere is much more common than primary mesenteric neoplasms such as desmoid tumour, inflammatory myofibroblastic tumour (IMFT), and others. (sajr.org.za)
Infarction8
Patient's1
  • Percutaneous balloon angioplasty seemed to improve the blood flow in the celiac artery, and the patient's abdominal pain was relieved. (biomedcentral.com)
Aortic1
  • For example, many patients with Marfan syndrome and annuloaortic ectasia are suitable for valve-sparing aortic root replacement, which obviates the need for a life-long anticoagulation regimen. (bcm.edu)
Ileum1
  • The ileocolic artery supplies the ileum, cecum, and ascending colon, whereas the middle colic artery supplies the transverse colon and communicates with the IMA. (medscape.com)
Organs2
  • [ 1 , 2 ] It is also a manifestation of peripheral vascular disease in which the metabolic demands of visceral organs are not being met by the blood supply. (medscape.com)
  • These symptoms are shared by pathologies of other abdominal organs and it is therefore very difficult to identify mesenteric lesions clinically. (sajr.org.za)
Symptoms2
  • This may present no symptoms, but can cause pain due to restricted blood flow to the superior mesenteric artery. (wikipedia.org)
  • Most patients with mesenteric lesions present with non-specific symptoms of abdominal pain, tenderness, palpable abdominal swelling, abdominal distension and weight loss. (sajr.org.za)
Aorta7
  • The celiac (/ˈsiːli.æk/) artery (also spelled coeliac), also known as the celiac trunk or truncus coeliacus, is the first major branch of the abdominal aorta. (wikipedia.org)
  • Branching from the aorta at thoracic vertebra 12 (T12) in humans, it is one of three anterior/ midline branches of the abdominal aorta (the others are the superior and inferior mesenteric arteries). (wikipedia.org)
  • The celiac artery is the first major branch of the descending abdominal aorta, branching at a 90° angle. (wikipedia.org)
  • The celiac artery is vulnerable to compression from the crus of the diaphragm during ventilation where it originates from the abdominal aorta. (wikipedia.org)
  • The celiac trunk arises from the ventral surface of the aorta at the T12-L1 vertebral body. (medscape.com)
  • The SMA comes off of the ventral aorta and gives off the inferior pancreaticoduodenal artery and the ileocolic, middle colic, right colic, jejunal, and ileal branches. (medscape.com)
  • The IMA is the smallest mesenteric vessel and comes off the anterior aorta. (medscape.com)
Branches6
  • There are three main divisions of the celiac artery, and each in turn has its own named branches: The celiac artery may also give rise to the inferior phrenic arteries. (wikipedia.org)
  • The anterosuperior and posterosuperior pancreaticoduodenal arteries communicate with the corresponding inferior branches from the SMA. (medscape.com)
  • The inferior pancreaticoduodenal artery gives rise to the corresponding anteroinferior and posteroinferior branches, which anastomose with their superior counterparts (see above). (medscape.com)
  • The right colic artery typically branches at the same level as the middle colic artery. (medscape.com)
  • The anterior superior alveolar nerves, branches of the infraorbital nerve (from CN V2), run in canals in the anterior wall of the maxillary sinus and innervate the upper incisors, canines, premolars, and often part of the first molar. (unboundmedicine.com)
  • The auricular branch of the vagus nerve is a sensory nerve emerging from the superior ganglion of the vagus nerve, joined by branches from the glossopharyngeal (CN IX) and facial nerves, and innervating the lower part of the tympanic membrane and the floor of the external auditory canal. (unboundmedicine.com)
Posterior2
  • The left gastric artery communicates with the right gastric artery along the posterior aspect of the lesser curvature of the stomach. (medscape.com)
  • The posterior superior alveolar nerves (also from CN V2) innervate the rest of the upper molars. (unboundmedicine.com)
Diagnosis3
  • CT plays an essential role in the diagnosis of mesenteric disease. (sajr.org.za)
  • Knowledge of imaging characteristics of various mesenteric lesions helps in timely diagnosis and management. (sajr.org.za)
  • Some mesenteric diseases present with distinctive imaging findings while others have similar findings, thereby complicating their differential diagnosis. (sajr.org.za)
Terminal1
  • The right and middle colic arteries are important suppliers of blood to the marginal artery of Drummond and give rise to the terminal vasa recta, which provide blood to the colon. (medscape.com)
Diseases1
  • Chapter 29 - Clinical neurophysiology of postural tachycardia syndrome", Handbook of Clinical Neurology, Clinical Neurophysiology: Diseases and Disorders, Elsevier, 161: 429-445, doi:10.1016/B978-0-444-64142-7.00066-7, ISBN 9780444641427, PMID 31307619, S2CID 196813489, retrieved 2021-01-13 Wikimedia Commons has media related to Human celiac artery. (wikipedia.org)
Primary1
  • Primary mesenteric solid neoplasms are rare and the majority of them are benign. (sajr.org.za)
Liver2
  • Background: Metabolic syndrome (MetS), prediabetes (PreDM) and metabolic-associated fatty liver disease (MAFLD) share pathophysiological pathways concerning type 2 diabetes mellitus (T2DM) onset. (unav.edu)
  • In addition, contrast-enhanced CT revealed restenosis of the celiac artery (Fig. 3 a and b) and unenhanced liver image (Fig. 3 c and d). (biomedcentral.com)
Disease1
  • Chapter 62 - Vascular Compression Syndromes", Vascular Medicine: A Companion to Braunwald's Heart Disease (Second Edition), Philadelphia: W.B. Saunders, pp. 755-770, ISBN 978-1-4377-2930-6, retrieved 2021-01-13 Chiva, Luis M. (wikipedia.org)
Findings1
  • The aim of this article is to describe the spectrum of imaging findings of the various mesenteric lesions using ultrasound and CT. (sajr.org.za)
Treatment1
  • Understanding the characteristic radiological patterns on ultrasound (USG) and CT offers valuable insights for differential diagnoses of mesenteric lesions and their treatment. (sajr.org.za)
Cases1
Patients2
Middle1
  • Sometimes there is a middle superior alveolar nerve that innervates the premolars and first molar. (unboundmedicine.com)
Surgery1
  • chapter 21 - Splanchnic Artery Aneurysms", Comprehensive Vascular and Endovascular Surgery (Second Edition), Philadelphia: Mosby, pp. 358-370, ISBN 978-0-323-05726-4, retrieved 2021-01-13 Cutsforth-Gregory, Jeremy K. (wikipedia.org)