16岁男性正中弓状韧带综合征的腹腔镜治疗
Laparoscopic treatment of median arcuate ligament syndrome in a 16-year-old male.
作者信息
Fujiwara Yoshinori, Higashida Masaharu, Kubota Hisako, Watanabe Yusakua, Ueno Michi, Uraoka Mio, Okamoto Yuko, Mineta Shumei, Okada Toshimasa, Tsuruta Atsushi, Kusunoki Hiroaki, Ueno Tomio
机构信息
Department of Digestive Surgery, Kawasaki Medical School, Japan.
Department of Digestive Surgery, Kawasaki Medical School, Japan.
出版信息
Int J Surg Case Rep. 2018;52:79-83. doi: 10.1016/j.ijscr.2018.10.006. Epub 2018 Oct 10.
INTRODUCTION
MALS(Median Arcuate Ligament Syndrome) is rare disease. We experienced the case of MALS and successfully treated by laparoscopic approach.
PRESENTATION OF CASE
A 16-year-old male was admitted to our hospital with postprandial epigastric pain that had been present for 3 years. Abdominal three-dimensional computed tomographic angiography showed stenosis of the celiac trunk, and abdominal Doppler ultrasonography showed that the blood flow in the celiac trunk varied between inspiration and expiration. Hence, the patient was diagnosed with median arcuate ligament syndrome. Laparoscopic decompression of the celiac trunk was performed by division of the ligament and partial excision of the celiac plexus. Intraoperative Doppler ultrasonography showed markedly improved flow in the celiac artery. The patient was discharged from hospital on postoperative day 7, and has no recurrent symptoms at 12 months postoperatively.
DISCUSSION
This case was most youngest male MALS treated by laparoscopic approach.
CONCLUSION
Laparoscopic division of the median arcuate ligament is a minimally invasive, safe, and effective method for decompression of the celiac artery.
引言
正中弓状韧带综合征（MALS）是一种罕见疾病。我们诊治了一例MALS患者，并通过腹腔镜手术成功治愈。
病例介绍
一名16岁男性因餐后上腹部疼痛3年入院。腹部三维计算机断层血管造影显示腹腔干狭窄，腹部多普勒超声显示腹腔干血流在吸气和呼气之间变化。因此，该患者被诊断为正中弓状韧带综合征。通过切断韧带和部分切除腹腔神经丛进行腹腔镜下腹腔干减压术。术中多普勒超声显示腹腔动脉血流明显改善。患者术后第7天出院，术后12个月无复发症状。
讨论
该病例是通过腹腔镜手术治疗的最年轻男性MALS患者。
结论
腹腔镜下切断正中弓状韧带是一种微创、安全且有效的腹腔动脉减压方法。
Zotero 插件