Kay Johnson C, Arroyo Ramon A
Department of Rheumatology, San Antonio Military Medical Center, 3851 Roger Brooke Drive, Fort Sam Houston, TX 78234-6200, USA.
Mil Med. 2013 Aug;178(8):e967-9. doi: 10.7205/MILMED-D-13-00164.
The median arcuate ligament syndrome is an uncommon condition characterized by the triad of postprandial abdominal pain, unintentional weight loss, and an epigastric bruit. This condition is diagnostically challenging and patients often undergo extensive laboratory, radiographic, and invasive evaluations before it is identified. Physicians should consider this syndrome in the differential diagnoses of chronic abdominal pain and mesenteric vasculitis. Once diagnosed, treatment is generally surgical with known predictors of favorable and unfavorable outcomes. Surgical candidates should be selected carefully. We describe the cases of two young active duty patients diagnosed with median arcuate ligament syndrome after suffering from chronic abdominal pain. Both were referred to our rheumatology department to evaluate for mesenteric vasculitis. Each had a different therapeutic outcome.
正中弓状韧带综合征是一种罕见疾病，其特征为餐后腹痛、体重无意减轻和上腹部血管杂音三联征。这种疾病的诊断具有挑战性，患者在确诊前常需接受广泛的实验室、影像学和侵入性检查。医生在慢性腹痛和肠系膜血管炎的鉴别诊断中应考虑该综合征。一旦确诊，通常采用手术治疗，且已知有预后良好和不良的预测因素。应谨慎选择手术候选者。我们描述了两名年轻现役患者的病例，他们在经历慢性腹痛后被诊断为正中弓状韧带综合征。两人均被转诊至我们的风湿科以评估是否患有肠系膜血管炎。两人的治疗结果各不相同。
