Asaumi Yoshihide, Sakatoku Mitsuaki, Okamoto Junpei, Hayashi Saki, Ota Naohiro, Yoshida Kouichi, Sugahara Hiroyuki, Tabata Satoshi, Kaneki Masahiro, Ietsugu Kenichi, Kiyohara Kaoru
Department of Surgery, Tonami General Municipal Hospital, Toyama, Japan.
Asian J Endosc Surg. 2019 Jul;12(3):315-317. doi: 10.1111/ases.12650. Epub 2018 Sep 26.
Stricture of the celiac artery caused by the median arcuate ligament induces abdominal ischemic symptoms and aneurysm near the pancreatic head. However, the need to treat asymptomatic patients is unclear. We safely performed surgical decompression of a stricture of the celiac artery by MAL in an asymptomatic patient at the same time as gastrectomy for gastric cancer. After surgery, the stricture of the celiac artery had disappeared as demonstrated by CT scan and 3-D CT angiography.
由正中弓状韧带引起的腹腔干狭窄可诱发腹部缺血症状及胰头附近的动脉瘤。然而,对于无症状患者是否需要治疗尚不清楚。我们在一名无症状患者行胃癌胃切除术的同时,安全地实施了正中弓状韧带所致腹腔干狭窄的手术减压。术后,CT扫描及三维CT血管造影显示腹腔干狭窄已消失。