Becker Erica, Mohammed Turab, Wysocki John
Department of Internal Medicine, University of Connecticut Health Center, Farmington, CT.
Department of Gastroenterology, Hartford Hospital, Hartford, CT.
ACG Case Rep J. 2021 Oct 26;8(10):e00675. doi: 10.14309/crj.0000000000000675. eCollection 2021 Oct.
Median arcuate ligament syndrome occurs when the celiac artery and/or the celiac plexus nerves is compressed by the median arcuate ligament during expiration causing a variety of gastrointestinal symptoms. Here, we present a case of median arcuate ligament syndrome in a persistently symptomatic 35-year-old man that presented as a mimicker of Crohn's disease. Symptomatology, computed tomography angiography, and abdominal ultrasound Doppler were consistent with celiac artery compression syndrome. After surgical decompression of the ligament and removal of the celiac ganglion, he reported a definitive relief of abdominal pain and resolution of symptoms.
正中弓状韧带综合征是指在呼气时，腹腔干动脉和/或腹腔神经丛被正中弓状韧带压迫，从而引发各种胃肠道症状。在此，我们报告一例35岁男性持续性出现症状的正中弓状韧带综合征病例，该病例表现类似克罗恩病。症状、计算机断层血管造影和腹部超声多普勒检查结果均符合腹腔干动脉压迫综合征。在对韧带进行手术减压并切除腹腔神经节后，他报告腹痛得到明确缓解，症状也得以消除。
