Celio-mesenteric Trunk Associated with Giant Omphalocele: Surgical Consequences

We report the first case of a newborn presenting with a celio-mesenteric trunk variation associated with a giant omphalocele. The celio-mesenteric trunk was unexpected and unseen during the staged surgical closure. After partial reintegration of the liver, the newborn presented refractory hypovolemi...

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Autores principales:	Laquievre,Antoine, Hitier,Martin, Petit,Thierry, Ravasse,Philippe, Rod,Julien
Lenguaje:	English
Publicado:	Sociedad Chilena de Anatomía 2017
Materias:	Celio-mesenteric trunk Mesenteric arterial variation Mesenteric ischemia Giant omphalocele Sodium valproate
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0717-95022017000300023
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spelling	oai:scielo:S0717-950220170003000232017-11-20Celio-mesenteric Trunk Associated with Giant Omphalocele: Surgical ConsequencesLaquievre,AntoineHitier,MartinPetit,ThierryRavasse,PhilippeRod,Julien Celio-mesenteric trunk Mesenteric arterial variation Mesenteric ischemia Giant omphalocele Sodium valproate We report the first case of a newborn presenting with a celio-mesenteric trunk variation associated with a giant omphalocele. The celio-mesenteric trunk was unexpected and unseen during the staged surgical closure. After partial reintegration of the liver, the newborn presented refractory hypovolemia with anuria, leading to redo surgery. This procedure revealed ischemia of the liver and necrosis of the entire gastrointestinal tract except the colon. Despite treatment, including liver externalization, the infant did not survive. The autopsy revealed a celio-mesenteric trunk, a rare anomaly characterized by a common origin of the celiac axis and the superior mesenteric artery from the aorta. This association may explain the dramatic consequences of the staged closure procedure. Awareness of the association of celio-mesenteric trunk and omphalocele would allow the surgeon to take extra care during this delicate surgery.info:eu-repo/semantics/openAccessSociedad Chilena de AnatomíaInternational Journal of Morphology v.35 n.3 20172017-09-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0717-95022017000300023en10.4067/S0717-95022017000300023
institution	Scielo Chile
collection	Scielo Chile
language	English
topic	Celio-mesenteric trunk Mesenteric arterial variation Mesenteric ischemia Giant omphalocele Sodium valproate
spellingShingle	Celio-mesenteric trunk Mesenteric arterial variation Mesenteric ischemia Giant omphalocele Sodium valproate Laquievre,Antoine Hitier,Martin Petit,Thierry Ravasse,Philippe Rod,Julien Celio-mesenteric Trunk Associated with Giant Omphalocele: Surgical Consequences
description	We report the first case of a newborn presenting with a celio-mesenteric trunk variation associated with a giant omphalocele. The celio-mesenteric trunk was unexpected and unseen during the staged surgical closure. After partial reintegration of the liver, the newborn presented refractory hypovolemia with anuria, leading to redo surgery. This procedure revealed ischemia of the liver and necrosis of the entire gastrointestinal tract except the colon. Despite treatment, including liver externalization, the infant did not survive. The autopsy revealed a celio-mesenteric trunk, a rare anomaly characterized by a common origin of the celiac axis and the superior mesenteric artery from the aorta. This association may explain the dramatic consequences of the staged closure procedure. Awareness of the association of celio-mesenteric trunk and omphalocele would allow the surgeon to take extra care during this delicate surgery.
author	Laquievre,Antoine Hitier,Martin Petit,Thierry Ravasse,Philippe Rod,Julien
author_facet	Laquievre,Antoine Hitier,Martin Petit,Thierry Ravasse,Philippe Rod,Julien
author_sort	Laquievre,Antoine
title	Celio-mesenteric Trunk Associated with Giant Omphalocele: Surgical Consequences
title_short	Celio-mesenteric Trunk Associated with Giant Omphalocele: Surgical Consequences
title_full	Celio-mesenteric Trunk Associated with Giant Omphalocele: Surgical Consequences
title_fullStr	Celio-mesenteric Trunk Associated with Giant Omphalocele: Surgical Consequences
title_full_unstemmed	Celio-mesenteric Trunk Associated with Giant Omphalocele: Surgical Consequences
title_sort	celio-mesenteric trunk associated with giant omphalocele: surgical consequences
publisher	Sociedad Chilena de Anatomía
publishDate	2017
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0717-95022017000300023
work_keys_str_mv	AT laquievreantoine celiomesenterictrunkassociatedwithgiantomphalocelesurgicalconsequences AT hitiermartin celiomesenterictrunkassociatedwithgiantomphalocelesurgicalconsequences AT petitthierry celiomesenterictrunkassociatedwithgiantomphalocelesurgicalconsequences AT ravassephilippe celiomesenterictrunkassociatedwithgiantomphalocelesurgicalconsequences AT rodjulien celiomesenterictrunkassociatedwithgiantomphalocelesurgicalconsequences
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Celio-mesenteric Trunk Associated with Giant Omphalocele: Surgical Consequences

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