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Aneurysm of an Aberrant Celiac Axis: Revascularization of Hepatic and Splenic Arteries—A Case Report

From the Second Department of Surgery, Faculty of Medicine, University of The Ryukyus, Okinawa, Japan

Hiroshi Shiroma

From the Second Department of Surgery, Faculty of Medicine, University of The Ryukyus, Okinawa, Japan

Yoshihiko Kamada

From the Second Department of Surgery, Faculty of Medicine, University of The Ryukyus, Okinawa, Japan

Dharma Raj Shrestha

From the Second Department of Surgery, Faculty of Medicine, University of The Ryukyus, Okinawa, Japan

Kageharu Koja

From the Second Department of Surgery, Faculty of Medicine, University of The Ryukyus, Okinawa, Japan

Morio Kina

From the Second Department of Surgery, Faculty of Medicine, University of The Ryukyus, Okinawa, Japan

Kazufumi Miyagi

From the Second Department of Surgery, Faculty of Medicine, University of The Ryukyus, Okinawa, Japan

Akira Kusaba

From the Second Department of Surgery, Faculty of Medicine, University of The Ryukyus, Okinawa, Japan

In a fifty-three-year old Japanese woman, a 3-cm-diameter saccular, calci fied aneurysm was detected beneath the pancreas during surgery for cholelithi asis. She was then referred to the authors' institution, where an aneurysm was detected on the medial wall of an anomalous celiac axis, that is, the hepato splenic trunk as a branch of an anomalous hepatosplenomesenteric trunk. This vascular anomaly was identified as type III in Adachi's classification of the structural variation of the celiac axis. The aneurysm was resected, and revascu larization of the hepatic and splenic arteries was successful following insertion of an autogenous vein graft.

Vascular and Endovascular Surgery, Vol. 26, No. 3, 235-240 (1992)
DOI: 10.1177/153857449202600310


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