Dunbar syndrome - case report.

IF 0.8 Q4 PERIPHERAL VASCULAR DISEASE

Jornal Vascular Brasileiro Pub Date : 2023-01-01 DOI:10.1590/1677-5449.202300301

Sarah Maria Lemos de Campos, Rafael Prado Pessoa, João Paulo de Araújo Pelegrini, Henrique Fernandes Silveira, Maria Fernanda Lopes Diniz, Maria Passos Bianchini, Leonardo Soares Lopes, Marcus Eduardo Valadares Meireles Martins da Costa

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Abstract

Dunbar syndrome is diagnosed by excluding other possible causes of abdominal pains. Surgical treatment comprises complete dissection of the ligament and the surrounding nerve ganglion. This report describes the case of a previously healthy 45-year-old male patient who presented with epigastric abdominal pain irradiating to the back and weakness. Initially, abdominal computed tomography was ordered, showing arteriopathy of the celiac trunk and mesenteric artery with stenosis. The patient underwent surgical treatment because of the refractory pain, but findings were nonspecific. It was necessary to continue workup with serial angiotomography to follow the case. After around 6 months, thickening of the arcuate ligament was found, with compression of the proximal third of the celiac trunk and 80% stenosis. The patient therefore underwent laparoscopy to relieve celiac trunk compression, with satisfactory postoperative recovery.

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邓巴综合征病例报告。

邓巴综合征是通过排除其他可能的腹痛原因来诊断的。手术治疗包括完全剥离韧带和周围的神经神经节。本报告描述了一个先前健康的45岁男性患者，他表现为上腹部疼痛照射到背部和虚弱。最初，腹部计算机断层扫描显示腹腔干动脉病变和肠系膜动脉狭窄。由于难治性疼痛，患者接受了手术治疗，但结果是非特异性的。有必要继续进行连续血管断层扫描以跟踪该病例。约6个月后，发现弓形韧带增厚，乳糜干近三分之一受压，80%狭窄。因此，患者接受腹腔镜手术以缓解腹腔干压迫，术后恢复满意。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Jornal Vascular Brasileiro Medicine-Cardiology and Cardiovascular Medicine

CiteScore

1.20

自引率

0.00%

发文量

审稿时长

20 weeks

期刊介绍： The Jornal Vascular Brasileiro is editated and published quaterly to select and disseminate high-quality scientific contents concerning original research, novel surgical and diagnostic techniques, and clinical observations in the field of vascular surgery, angiology, and endovascular surgery. Its abbreviated title is J. Vasc. Bras., which should be used in bibliographies, footnotes and bibliographical references and strips.