中弓形韧带综合征的临床表现、病理生理学和治疗——附4例报告

IF 0.9 Q4 GASTROENTEROLOGY & HEPATOLOGY
Ihsan Al Bayati, M. Gajendran, B. Davis, Jesus Diaz, R. McCallum
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引用次数: 6

摘要

正中弓形韧带综合征(MALS),也称为腹腔动脉压迫综合征(CACS),是一种罕见的疾病,由MAL对腹腔轴和/或腹腔神经节的解剖压迫引起。患者通常表现为不明原因的腹痛,因进食而加剧,并伴有恶心、呕吐和体重减轻。MALS是一种排除性诊断,应在严重上腹痛患者中考虑,这与客观结果无关。MALS诊断的主要特征依赖于腹腔动脉的影像学研究,显示在呼气期间变窄。最终的治疗方法是通过正中弓形韧带的手术松解,通过MAL的分割实现腹腔丛的手术减压。本文介绍了我们对这种实体的经验,重点介绍了症状表现、诊断挑战和治疗,包括四例病例的长期随访。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Median Arcuate Ligament Syndrome Clinical Presentation, Pathophysiology, and Management: Description of Four Cases
Median arcuate ligament syndrome (MALS), otherwise called celiac artery compression syndrome (CACS), is an uncommon disorder that results from an anatomical compression of the celiac axis and/or celiac ganglion by the MAL. Patients typically present with abdominal pain of unknown etiology exacerbated by eating along with nausea, vomiting, and weight loss. MALS is a diagnosis of exclusion that should be considered in patients with severe upper abdominal pain, which does not correlate with the objective findings. The cardinal feature which is elicited in the diagnosis of MALS relies on imaging studies of the celiac artery, demonstrating narrowing during expiration. The definitive treatment is the median arcuate ligament’s surgical release to achieve surgical decompression of the celiac plexus by division of the MAL. This article describes our experience with this entity, focusing on symptom presentation, diagnostic challenges, and management, including long-term follow-up in four cases.
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来源期刊
CiteScore
1.50
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