Unusual Collateral Pathways in Triple Vessel Occlusion-Nature’s Way of Survival in Mesenteric Ischemia


Authors : Dr. Pooja K. Mehtry; Dr. Rajat Bajaj; Dr. Kavya Devangad

Volume/Issue : Volume 10 - 2025, Issue 9 - September


Google Scholar : https://tinyurl.com/yf3db4x9

Scribd : https://tinyurl.com/bdnwwsy

DOI : https://doi.org/10.38124/ijisrt/25sep347

Note : A published paper may take 4-5 working days from the publication date to appear in PlumX Metrics, Semantic Scholar, and ResearchGate.

Note : Google Scholar may take 30 to 40 days to display the article.


Abstract : This case report describes a unique case of chronic pancreatitis who presented to us with pancreatic cancer. The patient also had a rare presentation of three-vessel occlusion involving origins of the celiac trunk, superior mesenteric artery, and inferior mesenteric artery. However multiple unusual and rare collaterals were seen taking over the abdominal circulation with no ischemic changes in concerned organs. Such a phenomenon is rare and only one case with triple vessel occlusion has been described in the literature. However triple vessel involvement in the setting of pancreatic disease has not been reported to our best knowledge. Information about these rare collaterals is important for the management of hepatic tumors, pancreaticobiliary surgery, and liver transplantation.

Keywords : Collaterals, Mesenteric, Ischemia, Pancreatitis.

References :

  1. Walker TG. Mesenteric vasculature and collateral pathways. Semin Intervent Radiol. 2009 Sep;26(3):167-74. doi: 10.1055/s-0029-1225663. PMID: 21326561; PMCID: PMC3036491
  2. Arazińska, A., Polguj, M., Wojciechowski, A., Trębiński, Ł. and Stefańczyk, L. (2016), Median arcuate ligament syndrome: Predictor of ischemic complications?. Clin. Anat., 29: 1025-1030. https://doi.org/10.1002/ca.22773
  3. Al-Azzazy MZ, Hasan DI, El Sherbeni ME, Gameel AM. Multidetector CT and CT angiography in mesenteric ischemia. Egypt J Radiol Nucl Med. 2012;43(3):337-45. doi:10.1016/j.ejrnm.2012.05.001
  4. Van de Loo - van Dijk L. Chronic Mesenteric Ischemia in the Picture : new diagnostic techniques and treatment modalities [Internet]. 2020. Available from: http://hdl.handle.net/1765/124018
  5. Applied vascular anatomy of the colon and rectum: Clinical implications for the surgical oncologist. Surg Oncol. 2006;15(4):243-55. doi:10.1016/j.suronc.2007.03.00
  6. Walker TG. Mesenteric vasculature and collateral pathways. Semin Intervent Radiol. 2009;26(3):167-74. doi:10.1055/s-0029-1225663
  7. Sakorafas GH, Zouros E, Peros G. Applied vascular anatomy of the colon and rectum: clinical implications for the surgical oncologist. Surg Oncol. 2006;15(4):243-55. doi:10.1016/j.suronc.2007.03.002

This case report describes a unique case of chronic pancreatitis who presented to us with pancreatic cancer. The patient also had a rare presentation of three-vessel occlusion involving origins of the celiac trunk, superior mesenteric artery, and inferior mesenteric artery. However multiple unusual and rare collaterals were seen taking over the abdominal circulation with no ischemic changes in concerned organs. Such a phenomenon is rare and only one case with triple vessel occlusion has been described in the literature. However triple vessel involvement in the setting of pancreatic disease has not been reported to our best knowledge. Information about these rare collaterals is important for the management of hepatic tumors, pancreaticobiliary surgery, and liver transplantation.

Keywords : Collaterals, Mesenteric, Ischemia, Pancreatitis.

CALL FOR PAPERS


Paper Submission Last Date
31 - December - 2025

Video Explanation for Published paper

Never miss an update from Papermashup

Get notified about the latest tutorials and downloads.

Subscribe by Email

Get alerts directly into your inbox after each post and stay updated.
Subscribe
OR

Subscribe by RSS

Add our RSS to your feedreader to get regular updates from us.
Subscribe