一名青少年反复出现腹痛和体重减轻：腹腔干压迫综合征。
Recurrent abdominal pain and weight loss in an adolescent: celiac artery compression syndrome.
作者信息
Gander Sarah, Mulder Daniel J, Jones Sarah, Ricketts John D, Soboleski Don A, Justinich Christopher J
机构信息
Department of Pediatrics, Queen's University, Kingston, Ontario, Canada.
出版信息
Can J Gastroenterol. 2010 Feb;24(2):91-3. doi: 10.1155/2010/534654.
Abstract
Celiac artery compression syndrome is a rare cause of abdominal pain and weight loss, likely caused by compression of the celiac artery or plexus by the median arcuate ligament. A case of celiac artery compression syndrome in a 17-year-old male patient with severe postprandial pain and weight loss is described. Imaging techniques such as computed tomography, angiography and Doppler ultrasound identified the abnormality, which was corrected by laparoscopic surgery.
摘要
腹腔动脉压迫综合征是腹痛和体重减轻的一种罕见病因，可能是由正中弓状韧带对腹腔动脉或神经丛的压迫所致。本文描述了一名17岁男性腹腔动脉压迫综合征患者，该患者有严重的餐后疼痛和体重减轻症状。计算机断层扫描、血管造影和多普勒超声等成像技术确定了异常情况，该异常通过腹腔镜手术得到纠正。
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本文引用的文献
1
Acute celiac artery compression syndrome after surgical correction of Scheuermann kyphosis.休曼氏后凸畸形手术矫正后急性腹腔干压迫综合征
Spine (Phila Pa 1976). 2009 Feb 15;34(4):E149-52. doi: 10.1097/BRS.0b013e3181918f05.
2
Celiac trunk compression syndrome requiring surgery in 3 adolescent patients.3例青少年患者因腹腔干压迫综合征需行手术治疗。
J Pediatr Surg. 2007 Apr;42(4):709-13. doi: 10.1016/j.jpedsurg.2006.12.049.
3
Clinical anatomy of celiac artery compression syndrome: a review.腹腔干压迫综合征的临床解剖学综述
Clin Anat. 2007 Aug;20(6):612-7. doi: 10.1002/ca.20473.
4
Arcuate ligament vascular compression syndrome in infants and children.婴幼儿及儿童的弓状韧带血管压迫综合征
J Pediatr Surg. 2005 Oct;40(10):1616-22. doi: 10.1016/j.jpedsurg.2005.06.040.
5
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Surg Endosc. 2005 May;19(5):729. doi: 10.1007/s00464-004-6010-x.
6
Pediatric surgical image. A rare case: celiac artery compression syndrome in an asymptomatic child.小儿外科影像。罕见病例：无症状儿童的腹腔干压迫综合征。
J Pediatr Surg. 2004 Apr;39(4):645-7. doi: 10.1016/j.jpedsurg.2003.12.037.
7
Successful treatment of recurrent celiac axis compression syndrome. A case report.
Panminerva Med. 2002 Mar;44(1):69-72.
8
Median arcuate ligament syndrome: a possible cause of idiopathic gastroparesis.正中弓状韧带综合征：特发性胃轻瘫的一种可能病因。
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9
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Am J Roentgenol Radium Ther Nucl Med. 1965 Nov;95(3):731-44. doi: 10.2214/ajr.95.3.731.
10
Coeliac artery compression syndrome: the effect of decompression.
Br J Surg. 1990 Jul;77(7):807-9. doi: 10.1002/bjs.1800770728.
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