What does the celiac branch diameter mean in a abdominal CT?

Hi,

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Thanks for the query. Few things: From the reports (attachments removed to protect the patient's identity), the abdominal aorta is the normal diameter. It is the artery that is most commonly dilated and is dangerous. The celiac trunk is its branch, its diameter is increased in your case, but its significance is unknown in literature. Rest are normal findings. Do you have hypertension or any other disease? Do you have a family history of aortic aneurysm or dissection? Why was this CT scan done?

Hi,

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Thanks for the query. There are some case reports, and based on these, some suggestions are given. The celiac trunk or axis is a branch of the abdominal aorta. Usually, the abdominal aorta is dilated in case of an aneurysm and is called AAA (abdominal aortic aneurysm). The celiac trunk's normal diameter is 8 mm. If there is an aneurysm of the celiac trunk, as in your case, open surgery or endovascular intervention is indicated if the diameter is more than 30 mm and symptomatic. If the diameter is less than 30 mm but is enlarging rapidly, again intervention is indicated. In your case, surveillance is needed. Repeat aortic imaging after six months. Do not worry. It is not that much enlarged, but as you have a family history of AAA, close surveillance is advised. Also, have echocardiography done to see aortic root diameter and aortic valve morphology. The bicuspid aortic valve is associated with an aortic aneurysm.