A newly discovered anatomical abdominal aorta anomaly; “Arax anomaly”

Abdominal aorta (AA) is part of descending aorta. It faces with variety of malformations during embryogenic period. A 35 years old woman with previous history of long term diabetes mellitus had experiment of one non-complicated successful pregnancy under surgical delivery. She referred to achieve health services due to de-novo postprandial abdominal pain and bilateral lower limbs exertional claudication. Following normal findings in upper esophago-gastro-duodenal study, angiographic evaluation of AA showed novel aortic variation in which celiac trunk, superior mesenteric artery, and bilateral renal arteries originated from one common arterial root. This anomaly has not been seen whether in alive or cadaveric explorations until this presentation. Precise arterial mapping is highly recommended when any attributed procedure is indicated. •Abdominal aorta development has complex embryogenic phases leading to arterial malformations•Presentation of synchronous specific arterial attributed symptoms implies on diagnostic arterial mapping•Branching of celiac trunk, superior mesenteric artery, and bilateral renal arteries from a common root is a novel anatomical malformation