Yoshida Kiichiro, Kita Keiichiro, Yamashiro Seiji
Department of General Medicine Toyama University Hospital Toyama Japan.
J Gen Fam Med. 2017 May 2;18(4):165-167. doi: 10.1002/jgf2.50. eCollection 2017 Aug.
Celiac artery compression syndrome is a rare condition characterized by extrinsic compression of the celiac artery by the median arcuate ligament, which leads to chronic, recurrent postprandial epigastric pain. Although traditional treatment of this syndrome involves laparotomy to release the median arcuate ligament, here we report on the rare case of a middle-aged woman recovering with no specific treatment through her use of a food diary to change her diet which resulted in gradual weight gain. This suggests that in some cases, a conservative therapy for celiac artery compression syndrome should be tried before choosing surgical intervention.
腹腔干压迫综合征是一种罕见病症,其特征为腹腔干受到正中弓状韧带的外部压迫,从而导致慢性复发性餐后上腹部疼痛。尽管该综合征的传统治疗方法是通过剖腹手术来松解正中弓状韧带,但在此我们报告一例罕见病例,一名中年女性通过使用饮食日记改变饮食,体重逐渐增加,未进行特殊治疗却康复了。这表明在某些情况下,在选择手术干预之前,应尝试对腹腔干压迫综合征进行保守治疗。