Sapadin Abby, Misek Ryan
Midwestern University Chicago College of Osteopathic Medicine, Department of Clinical Education, Downers Grove, Illinois.
Clin Pract Cases Emerg Med. 2019 Oct 21;3(4):413-416. doi: 10.5811/cpcem.2019.9.44075. eCollection 2019 Nov.
Celiac artery compression syndrome, also called median arcuate ligament syndrome (MALS), is a rare condition in which the diaphragmatic crura compresses the celiac axis. This results in a constellation of primarily gastrointestinal (GI) symptoms including nausea, vomiting, postprandial abdominal pain, and weight loss. It is typically a diagnosis of exclusion and may be detected via several imaging techniques including ultrasound and computed tomography angiography. We present an atypical case of MALS detected in the emergency department (ED). We review the symptomatology, diagnostic workup, and treatment options here, as well as discuss implications concerning revisits to the ED for recurrent GI symptoms.
腹腔干压迫综合征，也称为正中弓状韧带综合征（MALS），是一种罕见的疾病，其中膈脚压迫腹腔干。这会导致一系列主要的胃肠道（GI）症状，包括恶心、呕吐、餐后腹痛和体重减轻。它通常是一种排除性诊断，可通过多种成像技术检测，包括超声和计算机断层血管造影。我们介绍了在急诊科（ED）发现的一例非典型MALS病例。我们在此回顾其症状、诊断检查和治疗选择，并讨论因复发性胃肠道症状返回急诊科的相关影响。
