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. 2016 Jul 13;11(1):248-251.
doi: 10.1515/med-2016-0049. eCollection 2016.

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

Costantino Eretta  1 , Alessia Ferrarese  2 , Sonja Olcese  1 , Mikaela Imperatore  1 , Elisa Francone  1 , Claudio Bianchi  1 , Maria Santina Bruno  1 , Carlo Sagnelli  1 , Maria Di Martino  1 , Savina Ranghetti  3 , Valter Martino  4 , Emilio Falco  1 , Stefano Berti  1
Affiliations

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

Costantino Eretta et al. Open Med (Wars). .

Abstract

Celiac 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.

Keywords: Celiac artery compression syndrome; Median Arcuate Ligament; Syndrome Angina abdominis.

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Figures

Figure 1
Figure 1
Celiac trunk at the emergence, suggesting possible persistence of median arcuate Ligament
Figure 2 a-b
Figure 2 a-b
Pre operative angio CT Scan: The images series showed an inversion blood flow through the pancreaticoduodenal arteries became hypertrophic
Figure 3 a-b
Figure 3 a-b
Dissection of fibro-adipose tissue of the origin of the celiac trunk
Figure 4 a-b
Figure 4 a-b
CT scan showed restoration of an adequate flow celiac artery
See this image and copyright information in PMC

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