Celiomesenteric and hepatosplenomesenteric trunks: characterization of two rare vascular anomalies with CT

Verfasser / Beitragende:
[Pierre Maldjian, Michael Chorney]
Ort, Verlag, Jahr:
2015
Enthalten in:
Abdominal Imaging, 40/6(2015-08-01), 1800-1807
Format:
Artikel (online)
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024 7 0 |a 10.1007/s00261-014-0312-9  |2 doi 
035 |a (NATIONALLICENCE)springer-10.1007/s00261-014-0312-9 
245 0 0 |a Celiomesenteric and hepatosplenomesenteric trunks: characterization of two rare vascular anomalies with CT  |h [Elektronische Daten]  |c [Pierre Maldjian, Michael Chorney] 
520 3 |a Objective: The purpose of this retrospective investigation is to characterize and illustrate the appearances of celiomesenteric trunk (CMT) and hepatosplenomesenteric trunk (HSMT) using CT with three-dimensional volume-rendering with attention to the proximal branching patterns. We also correlate our results with an embryologic model and assess the accuracy of radiologists in recognizing these entities. Methods: CT studies on 36 adult subjects with CMT and 10 with HSMT were analyzed to determine the proximal branching patterns and lengths of the common vascular trunks. The official reports in appropriately selected cases were reviewed to ascertain if the interpreting radiologists recognized the anomalies. Results: Two types of CMT were found. In 29 of 36 cases (81%), the CMT bifurcated into the celiac trunk and superior mesenteric artery (Type A CMT), while in 7 cases the left gastric artery (LGA) arose from the CMT proximal to the hepatosplenic trunk and superior mesenteric artery (Type B CMT). Type A trunks (mean length=10.4mm) were significantly shorter (p=0.007) than Type B trunks (mean length=17.8mm). Short common trunks (less than 1.0cm) were only seen with Type A CMT. Branching patterns in all 10 cases of HSMT were identical with no short common trunks. The CMT was not mentioned in the radiology reports in 88% of the cases assessed. Conclusion: The location of the LGA origin distinguishes the two variants of CMT and differentiates CMT from HSMT. These anomalies are easily overlooked during evaluation of routine clinical cases. 
540 |a Springer Science+Business Media New York, 2014 
690 7 |a Celiomesenteric trunk  |2 nationallicence 
690 7 |a Hepatosplenomesenteric trunk  |2 nationallicence 
690 7 |a Celiac trunk  |2 nationallicence 
690 7 |a Mesenteric arterial variants  |2 nationallicence 
690 7 |a Computed tomography  |2 nationallicence 
700 1 |a Maldjian  |D Pierre  |u Department of Radiology, Rutgers New Jersey Medical School, University Hospital, 150 Bergen St., UH C-320, 07103-2406, Newark, NJ, USA  |4 aut 
700 1 |a Chorney  |D Michael  |u Department of Radiology, Rutgers New Jersey Medical School, University Hospital, 150 Bergen St., UH C-320, 07103-2406, Newark, NJ, USA  |4 aut 
773 0 |t Abdominal Imaging  |d Springer US; http://www.springer-ny.com  |g 40/6(2015-08-01), 1800-1807  |x 0942-8925  |q 40:6<1800  |1 2015  |2 40  |o 261 
856 4 0 |u https://doi.org/10.1007/s00261-014-0312-9  |q text/html  |z Onlinezugriff via DOI 
898 |a BK010053  |b XK010053  |c XK010000 
900 7 |a Metadata rights reserved  |b Springer special CC-BY-NC licence  |2 nationallicence 
908 |D 1  |a research-article  |2 jats 
949 |B NATIONALLICENCE  |F NATIONALLICENCE  |b NL-springer 
950 |B NATIONALLICENCE  |P 856  |E 40  |u https://doi.org/10.1007/s00261-014-0312-9  |q text/html  |z Onlinezugriff via DOI 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Maldjian  |D Pierre  |u Department of Radiology, Rutgers New Jersey Medical School, University Hospital, 150 Bergen St., UH C-320, 07103-2406, Newark, NJ, USA  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Chorney  |D Michael  |u Department of Radiology, Rutgers New Jersey Medical School, University Hospital, 150 Bergen St., UH C-320, 07103-2406, Newark, NJ, USA  |4 aut 
950 |B NATIONALLICENCE  |P 773  |E 0-  |t Abdominal Imaging  |d Springer US; http://www.springer-ny.com  |g 40/6(2015-08-01), 1800-1807  |x 0942-8925  |q 40:6<1800  |1 2015  |2 40  |o 261