Celiac axis compression syndrome: laparoscopic approach in a strange case of chronic abdominal pain in 71 years old man

AbstractCeliac Axis Compression Syndrome by the Median Arcuate Ligament is a very rare condition characterized by chronic postprandial abdominal pain (angina abdominis), nausea, vomiting, which occurs mostly in young patients. The main treatment is a surgical procedure that consists of the division of the arcuate ligament combined with the section of the close diaphragmatic crus and the excision of the celiac plexus. Actually laparoscopic management is feasible and safe.

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Laparoscopic Division of Median Arcuate Ligament for the Celiac Axis Compression Syndrome—Two Case Reports with Review of Literature

Indian Journal of Surgery ◽

10.1007/s12262-016-1448-3 ◽

2016 ◽

Vol 78 (2) ◽

pp. 163-165 ◽

Cited By ~ 5

Author(s):

Parthasarathy Ramakrishnan ◽

Biswajit Deuri ◽

M. S. S. Keerthi ◽

Subrahmaneswara Babu Naidu ◽

Rajapandian Subbaiah ◽

...

Keyword(s):

Case Reports ◽

Celiac Axis ◽

Review Of Literature ◽

Median Arcuate Ligament ◽

Compression Syndrome ◽

Axis Compression ◽

Arcuate Ligament ◽

Celiac Axis Compression Syndrome

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Uncommon Ethiology in Abdominal Pain: Celiac Axis Compression Syndrome

Open Journal of Gastroenterology ◽

10.4236/ojgas.2016.61001 ◽

2016 ◽

Vol 06 (01) ◽

pp. 1-4

Author(s):

Serife Degirmencioglu ◽

Banu Boyuk ◽

Hande Atalay ◽

Muhammed Ates ◽

Murat Altay ◽

...

Keyword(s):

Abdominal Pain ◽

Celiac Axis ◽

Compression Syndrome ◽

Axis Compression ◽

Celiac Axis Compression Syndrome

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A Severe Case of Median Arcuate Ligament Syndrome with Successful Angioplasty and Stenting

Case Reports in Vascular Medicine ◽

10.1155/2012/129870 ◽

2012 ◽

Vol 2012 ◽

pp. 1-4 ◽

Cited By ~ 3

Author(s):

Keerati Hongsakul ◽

Sorracha Rookkapan ◽

Jitpreedee Sungsiri ◽

Teeravut Tubtawee

Keyword(s):

Celiac Trunk ◽

Severe Case ◽

Median Arcuate Ligament ◽

Median Arcuate Ligament Syndrome ◽

Traditional Treatment ◽

Compression Syndrome ◽

Axis Compression ◽

Arcuate Ligament ◽

Angioplasty And Stenting ◽

Celiac Axis Compression Syndrome

Median arcuate ligament syndrome (MAL) or celiac axis compression syndrome (CACS) is a rare etiology of chronic abdominal pain. Traditional treatment of this syndrome is surgery. We report a case of median arcuate ligament syndrome with a severe compression of the celiac trunk, which was successfully treated by angioplasty with stenting.

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Reversible Gastroparesis: Functional Documentation of Celiac Axis Compression Syndrome and Postoperative Improvement

The American Surgeon ◽

10.1177/000313480607200413 ◽

2006 ◽

Vol 72 (4) ◽

pp. 339-344 ◽

Cited By ~ 8

Author(s):

Magdiel Trinidad-Hernandez ◽

Phillip Keith ◽

Ibrahim Habib ◽

John V. White

Keyword(s):

Duplex Ultrasound ◽

Original Description ◽

Celiac Axis ◽

Ultrasound Images ◽

Chronic Mesenteric Ischemia ◽

Compression Syndrome ◽

Axis Compression ◽

Arcuate Ligament ◽

Gastric Ischemia ◽

Celiac Axis Compression Syndrome

Celiac axis compression syndrome has generated much controversy since its original description in 1963. The main symptoms are postprandial epigastric abdominal pain, regurgitation of undigested food, and weight loss, all of which are caused by gastric ischemia from impingement of the celiac axis by the median arcuate ligament of the diaphragm. These symptoms are seen in other common disorders such as chronic mesenteric ischemia and gastroparesis. This makes the diagnosis of celiac axis compression syndrome a true challenge for the clinician. We present data on three patients successfully treated. The pre- and postoperative studies clearly demonstrate a resolution of the condition. The duplex ultrasound images clearly show variable compression on the celiac axis. The angiogram presented shows a classic image of the disease. A review of the data has enabled us to develop an algorithm for the diagnosis of this disease.

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Celiac axis compression syndrome in liver transplantation

Transplantation Proceedings ◽

10.1016/s0041-1345(00)02544-6 ◽

2001 ◽

Vol 33 (1-2) ◽

pp. 1438-1439 ◽

Cited By ~ 13

Author(s):

S Agnes ◽

A.W Avolio ◽

S.C Magalini ◽

F Frongillo ◽

M Castagneto

Keyword(s):

Liver Transplantation ◽

Celiac Axis ◽

Compression Syndrome ◽

Axis Compression ◽

Celiac Axis Compression Syndrome

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Dunbar (Or Median Arcuate Ligament) Syndrome: A Case Series

Journal of University of Shanghai for Science and Technology ◽

10.51201/jusst/21/09562 ◽

2021 ◽

Vol 23 (09) ◽

pp. 450-459

Author(s):

Dr Praveen K Sharma, MD RD ◽

◽

Dr. Pavankumar mathapati ◽

Dr. Dinesh babu J ◽

Dr. Keerthi vatsan ◽

...

Keyword(s):

Case Series ◽

Vascular Reconstruction ◽

Vascular Compression ◽

Median Arcuate Ligament ◽

Median Arcuate Ligament Syndrome ◽

Non Invasive ◽

Compression Syndrome ◽

Axis Compression ◽

Arcuate Ligament ◽

Dunbar Syndrome

Dunbar syndrome (DS) (or Median arcuate ligament syndrome) is a rare entity of the vascular compression syndrome, where there is focal proximal coeliac axis compression by Median arcuate ligament (MAL). It results in an insufficient supply of blood to the respective organs of the gastrointestinal tract (GIT). Multi-detector computed tomography (MDCT) is a very convenient non-invasive modality in diagnosing this condition and helpful in distinguishing it from other conditions, such as atherosclerotic disease. DS can further be treated disorder surgically by relieving the compression and sometimes may need vascular reconstruction. We present five cases of the DS.

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