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通过正中弓状韧带离断术对腹腔干压迫进行开放性手术减压。

Open surgical decompression of celiac axis compression by division of the median arcuate ligament.

作者信息

Kim Sang Jin, Park Yang Jin, Yang Shin-Seok, Kim Young-Wook

机构信息

Division of Vascular Surgery, Department of Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.

出版信息

J Korean Surg Soc. 2013 Aug;85(2):93-5. doi: 10.4174/jkss.2013.85.2.93. Epub 2013 Jul 25.

DOI:10.4174/jkss.2013.85.2.93
PMID:23908968
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3729994/
Abstract

Median arcuate ligament syndrome is a rare cause of abdominal pain which results from compression of the celiac artery (CA) or rarely, the superior mesenteric artery by a ligament formed by the right and left crura of the diaphragm. We report a case of open surgical decompression of the CA by division of the median arcuate ligament for a 37-year-old female patient who had suffered from chronic postprandial epigastric pain and severe weight loss. We described clinical features, characteristic angiographic findings and details of the surgical procedure for the patient with this rare vascular problem.

摘要

正中弓状韧带综合征是一种罕见的腹痛原因，它是由膈肌左右脚形成的韧带压迫腹腔干（CA）引起的，很少由肠系膜上动脉受压引起。我们报告了一例37岁女性患者，因慢性餐后上腹部疼痛和严重体重减轻，通过切开正中弓状韧带对腹腔干进行开放手术减压的病例。我们描述了该罕见血管问题患者的临床特征、典型血管造影表现及手术细节。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e00c/3729994/6a354e950bde/jkss-85-93-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e00c/3729994/c1e5d66b991e/jkss-85-93-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e00c/3729994/0d3501969c4a/jkss-85-93-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e00c/3729994/6a354e950bde/jkss-85-93-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e00c/3729994/c1e5d66b991e/jkss-85-93-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e00c/3729994/0d3501969c4a/jkss-85-93-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e00c/3729994/6a354e950bde/jkss-85-93-g003.jpg

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Median arcuate ligament syndrome: a nonvascular, vascular diagnosis.
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