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肠系膜上动脉受正中弓状韧带的外部压迫。

External compression of the superior mesenteric artery by the median arcuate ligament.

作者信息

Stein Jeffrey J, Costanza Michael J, Rivero Mariel, Gahtan Vivian, Amankwah Kwame S

机构信息

Division of Vascular Surgery, SUNY Upstate Medical University, Syracuse, NY 13210, USA.

出版信息

Vasc Endovascular Surg. 2011 Aug;45(6):565-7. doi: 10.1177/1538574411412827. Epub 2011 Jun 29.

DOI:10.1177/1538574411412827
PMID:21715422
Abstract

The median arcuate ligament can compress the proximal portion of the celiac artery causing symptoms of chronic mesenteric ischemia. This rare condition typically affects young women and often poses a diagnostic challenge. Compression of the superior mesenteric artery (SMA) in addition to the celiac artery represents an unusual variant of median arcuate ligament syndrome (MALS). We present a case of MALS resulting predominantly from external compression of the SMA. Diagnostic and therapeutic options are discussed.

摘要

正中弓状韧带可压迫腹腔干近端，导致慢性肠系膜缺血症状。这种罕见疾病通常影响年轻女性，且常常带来诊断挑战。除腹腔干外，肠系膜上动脉（SMA）受压是正中弓状韧带综合征（MALS）的一种不寻常变异。我们报告一例主要由SMA外部压迫导致的MALS病例。并对诊断和治疗选择进行了讨论。

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