Bicameral celiacomesenteric aneurysm

Case contributed by Yaïr Glick
Diagnosis certain

Presentation

Ambulatory CT for the investigation of pancreatic cancer.

Patient Data

Age: 80 years
Gender: Female

Hypodense pancreatic body mass measuring 3.2 X 2.2 X 2.1 cm with a small cystic component. Mildly dilated main pancreatic duct and intra- and extrahepatic bile ducts. No evidence of regional lymph node or hepatic spread.

Case Discussion

A common celiacomesenteric trunk, i.e. a common origin shared by the celiac artery and superior mesenteric artery, is a rare variant. This case demonstrates an incidental finding within a finding: a celiacomesenteric trunk with a bicameral (double chamber) aneurysm whose anterior chamber is thrombosed.

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