Abstract
Within splanchnic artery variations, the celiacomesenteric trunk occurs in 3.4%, and within splanchnic artery aneurysms, the celiac artery aneurysm occurs in 4%. We treated a rare case of celiac artery aneurysm concomitant with celiacomesenteric trunk. The patient was male and 76 years old. Computed tomographic angiography revealed a calcified saccular aneurysm at the celiac axis, which originated from the common trunk with the superior mesenteric artery. The operation was performed with the division of the origin of the celiac artery, and the reversed saphenous vein bypass from the superior mesenteric artery to the bifurcation of the celiac artery. The accurate operative procedure is needed in the treatment of the splanchnic artery aneurysm with anatomical variation.