Two Clinical Cases of Celiac-Mesenteric Trunk

INTRODUCTION: Knowledge of the variable anatomy of the celiac trunk is of great clinical significance in the treatment of the abdominal aortic aneurysm, in surgery of the stomach, liver, spleen, pancreas and esophagus, in retrieval and transplantation of organs (liver, pancreas). The article describes two clinical cases of the celiacomesenteric trunk, which present a rare anatomical variant of the arterial bed of the celiac trunk and superior mesenteric artery. The first case was detected in patient P., 47 years old, in USDG during a routine medical examination of the abdominal aorta, the second case was detected at autopsy in patient M., 61 years old, whose death was not associated with pathology of abdominal organs. A brief review of the world literature was conducted using four databases (Scopus, Pubmed, Medline, Google Scholar), with no restrictions on the year of publication. According to the data of systematic review, the incidence of celiacomesenteric trunk varies: in anatomical studies on cadaveric material from 0.54% to 2.40%, on average 1.68%, according to the results of radiological studies — 0.10–1.72%, on average 0.74%, according to literature reviews and meta-analysis — 0.68–1.06%, on average 0.84%. CONCLUSION: The presented clinical cases show that the ultrasound Doppler imaging can be considered a method of early diagnosis of vascular variations in the celiacomesenteric arterial complex in patients with surgically significant pathology of the upper abdominal organs.