Coeliomesenteric trunk - a rare variation to be aware of

The Coelic axis (CA) and the Superior Mesenteric Artery (SMA) are the anterior visceral arteries of the Abdominal Aorta. CA arises at the level of lower 12th thoracic vertebra while SMA arises at the first Lumbar vertebral level. Normally CA divides into Common Hepatic (CHA), Left Gastric (LG) and Splenic Arteries (SA). These branches supply liver, spleen stomach, upper duodenum and pancreas. The SMA supplies the small intestine. Rarely these two arteries have a common origin due to variations in the embryological development i.e. Coeliomesenteric Trunk (CMT) [1, 2]. It is important to be aware and detect such variation to avoid complications during interventions.