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邓巴综合征:慢性餐后腹痛的一种罕见病因。

Dunbar syndrome: An unusual cause of chronic postprandial abdominal pain.

作者信息

Li Jonathan, Tan Xin Yee, Megahed Ayah, Evangelista Angela

机构信息

Department of Internal Medicine, NYC Health + Hospitals/Lincoln, 234 East 149 St, Bronx, NY 10451, USA.

出版信息

Radiol Case Rep. 2020 Aug 2;15(10):1747-1749. doi: 10.1016/j.radcr.2020.07.016. eCollection 2020 Oct.

DOI:10.1016/j.radcr.2020.07.016
PMID:32774573
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7397697/
Abstract

Median arcuate ligament syndrome (MALS), also known as Dunbar syndrome, is a rare condition in which the celiac artery is compressed by the median arcuate ligament of the diaphragm. We hereby report a case of a 48-year-old female presenting with long-standing abdominal pain and ninety-pound weight loss who was found to have median arcuate ligament syndrome after extensive workup.

摘要

正中弓状韧带综合征(MALS),也称为邓巴综合征,是一种罕见的病症,其中腹腔干被膈肌的正中弓状韧带压迫。我们在此报告一例48岁女性病例,该患者长期腹痛且体重减轻了90磅,经过全面检查后被诊断为正中弓状韧带综合征。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/66fa/7397697/f582a05fadf3/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/66fa/7397697/1965886f66df/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/66fa/7397697/f582a05fadf3/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/66fa/7397697/1965886f66df/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/66fa/7397697/f582a05fadf3/gr2.jpg

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本文引用的文献

1
An easily overlooked cause of abdominal pain.一个容易被忽视的腹痛原因。
J Community Hosp Intern Med Perspect. 2014 Nov 25;4(5):25083. doi: 10.3402/jchimp.v4.25083. eCollection 2014.
2
Multidetector CT of vascular compression syndromes in the abdomen and pelvis.腹部和骨盆血管压迫综合征的多排 CT 检查
Radiographics. 2014 Jan-Feb;34(1):93-115. doi: 10.1148/rg.341125010.
3
Treatment of median arcuate ligament syndrome via traditional and robotic techniques.通过传统技术和机器人技术治疗正中弓状韧带综合征。
Hawaii J Med Public Health. 2013 Aug;72(8):279-81.
4
Median Arcuate Ligament Syndrome in a patient with Crohn's disease.一名克罗恩病患者的正中弓状韧带综合征
Int J Surg Case Rep. 2013;4(4):399-402. doi: 10.1016/j.ijscr.2013.01.015. Epub 2013 Jan 29.
5
The celiac axis compression syndrome (CACS): critical review in the laparoscopic era.腹腔动脉压迫综合征(CACS):腹腔镜时代的批判性回顾。
Rev Esp Enferm Dig. 2010 Mar;102(3):193-201. doi: 10.4321/s1130-01082010000300006.
6
Management of median arcuate ligament syndrome: a new paradigm.正中弓状韧带综合征的管理:一种新范式。
Ann Vasc Surg. 2009 Nov-Dec;23(6):778-84. doi: 10.1016/j.avsg.2008.11.005. Epub 2009 Jan 6.
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Median arcuate ligament syndrome: evaluation with CT angiography.正中弓状韧带综合征:CT血管造影评估
Radiographics. 2005 Sep-Oct;25(5):1177-82. doi: 10.1148/rg.255055001.
8
A RARE OBSTRUCTION OF THE COELIAC ARTERY. REPORT OF A CASE.一例罕见的腹腔动脉阻塞病例报告
Ann Chir Gynaecol Fenn. 1963;52:547-50.
9
Celiac artery compression by the median arcuate ligament: a pitfall of end-expiratory MR imaging.正中弓状韧带对腹腔干的压迫:呼气末磁共振成像的一个陷阱。
Radiology. 2003 Aug;228(2):437-42. doi: 10.1148/radiol.2282020689.
10
Laparoscopic release of celiac artery compression syndrome facilitated by laparoscopic ultrasound scanning to confirm restoration of flow.腹腔镜超声扫描辅助下的腹腔干压迫综合征腹腔镜松解术,以确认血流恢复。
J Vasc Surg. 2000 Oct;32(4):814-7. doi: 10.1067/mva.2000.107574.