van Urk P R, Littooij A S, van Gestel J P J, Kruyt M C
Department of Orthopedics, University Medical Center Utrecht, Heidelberglaan 100 3584 CX, Utrecht, the Netherlands.
Department of Radiology, Wilhelmina Children's Hospital (WKZ), University Medical Center Utrecht, Heidelberglaan 100 3584 CX, Utrecht, the Netherlands.
Spine Deform. 2019 Jan;7(1):176-179. doi: 10.1016/j.jspd.2018.05.006.
Compression of the celiac artery by a tight arcuate ligament of the diaphragm is a rare syndrome that can arise after correction of severe kyphosis. Symptoms include abdominal pain and ileus and liver dysfunctions. These symptoms can be easily attributed to more common causes like the superior mesenteric artery syndrome, and a delay in the diagnosis of celiac artery obstruction may result in severe ischemic disease of the gastrointestinal tract. We present a case of celiac artery syndrome after correction of a kyphoscoliosis with severe sequelae that has not been documented before.
膈肌紧张的弓形韧带对腹腔动脉的压迫是一种罕见综合征,可在严重脊柱后凸矫正后出现。症状包括腹痛、肠梗阻和肝功能障碍。这些症状很容易归因于更常见的原因,如肠系膜上动脉综合征,腹腔动脉梗阻诊断的延迟可能导致严重的胃肠道缺血性疾病。我们报告一例脊柱侧凸矫正后出现腹腔动脉综合征且伴有严重后遗症的病例,此前尚无此类病例的文献记载。