Joubaud F, Pillet J, Boyer J
Sem Hop. 1977 Jan 16;53(3):157-64.
The authors report 5 cases (3 women and 2 men) of extrinsic stenosis of the coeliac axis by the arcuate ligament of the diaphragm. In one of the latter, the stenosis of the coeliac axis was associated with chronic calcific pancreatitis. These 5 patients were operated on. Division of the arcuate ligament gave on the whole very favourable results. (3 excellent results, one good and one average result). The authors then recall the clinical, angiographic and pathogenic data in this disease which remains exceptional. The diagnosis should be made and operation decided only after a fairly long period of observation during which one has elimiatned the diagnoses of gastro-intestinal, gall bladder, pancreatic and above all psychiatric disease by endoscopy, radiography and symptomatic medical treatment.
作者报告了5例（3名女性和2名男性）因膈弓状韧带导致的腹腔干外源性狭窄病例。其中1例腹腔干狭窄与慢性钙化性胰腺炎有关。这5例患者均接受了手术。切开弓状韧带总体上取得了非常良好的效果。（3例效果极佳，1例良好，1例一般）。作者随后回顾了这种仍然罕见的疾病的临床、血管造影和发病机制数据。只有在经过相当长时间的观察后，通过内镜检查、放射学检查和对症药物治疗排除了胃肠道、胆囊、胰腺尤其是精神疾病的诊断，才能做出诊断并决定手术。
