KRONİK KARIN KAĞRISININ NADİR BİR NEDENİ: MEDİAN ARKUAT LİGAMENT SENDROMU A Rare Cause of Chronic Abdominal Pain: Median Arcuate Ligament Syndrome
Abstract
ÖZET
Median arkuat ligament sendromu, median arkuat ligamentin çölyak arter köküne basısı sonucu
oluşur. Çölyak arter kökünde basıya sekonder gelişen darlık gastrointestinal sistem kan akımında
azalmaya neden olur. Sendrom kendini genelikle postprandial ağrı ile belli eder ve özelikle ekspiryumda
daha belirgin ağrı oluşur. Burada kronik karın ağısı ile tetkik edilip median arkuat ligament
sendromu tanısı konulan ve cerrahi tedaviyle düzelme sağlanmayıp çölyak arter stentleme ile tamamen
asemptomatik hale gelen genç bir erkek hasta sunulacaktır.
Anahtar Kelimeler: Kronik karın ağrısı; Çölyak arter; Median arkuat ligament
ABSTRACT
Median arcuate ligament syndrome occurs when median arcuate ligament pressures the root of
the celiac artery. The root secondry to compression of the celiac artery stenosis causes decreased
blood flow to the gastrointestinal tract. Generally it reveals itself with the post-prandial pain and
pain increases with expirium. We present a young male patient with median arcuate ligament
syndrome whom no improvement is achieved with surgical treatment and recovered with celiac
artery stenting.
Keywords: Chronic abdominal pain; Celiac artery; Median arcuate ligament
Keywords
References
- 1. Aschenbach R, Basche S, Vogl TJ. Compression of the celiac trunk caused by median arcuate ligament in children and adolescent subjects: evaluation with contrast-enhanced MR angiography and comparison with Doppler US evaluation. J Vasc Interv Radiol 2011;22:556–61. 2. Desmond CP, Roberts SK. Exercise-related abdominal pain as a manifestation of the median arcuate ligament syndrome. Scand J Gastroenterol 2004;39:1310–3. 3. Park CM, et all. Celiac Axis Stenosis: Incidence and Etiologies in Asymptomatic Individuals Korean Journal of Radiology; 2001 March; 2: 8-13 4. Horton K M, Talamini M A, Fishman E K. Median arcuate ligament syndrome: evaluation with CT angiography. Radiographics. 2005; 25(5):1177–82. 5. Oktay Ö, Memiş A, Parıldar M, Oran İ. Coeliac artery compression syndrome. Akademik Gastroentroloji Dergisi, 2003; 2 (3): 142-145. 6. Hongsakul K, Rookkapan S. Sungsiri J, Tubtawee T. A severe case of median arcuate ligament syndrome with successful angioplasty and stenting. Case Rep Vasc Med. 2012;2012:129870. 7. Grotemeyer D, Duran M, Iskandar F, Blondin D, Nguyen K, Sandmann W. Median arcuate ligament syndrome: vascular surgical therapy and follow-up of 18 patients, Langenbecks Arch Surg, 2009; 394: 1085–92.
Details
Primary Language
Turkish
Subjects
-
Journal Section
Case Report
Authors
Samet Alkan
This is me
Abdullah Emre Yıldırım
This is me
Buğra Tolga Konduk
This is me
Ramazan Erdem Er
This is me
Murat Taner Gülşen
This is me
Publication Date
September 10, 2017
Submission Date
September 18, 2017
Acceptance Date
-
Published in Issue
Year 2017 Volume: 7 Number: 3