Scharf Michael, Thomas Kaitlyn A, Sundaram Niteesh, Ravi Shri Jai Kirshan, Aman Mustafa
Surgery, Geisinger Commonwealth School of Medicine, Scranton, USA.
Clinical Education, Lake Erie College of Osteopathic Medicine, Elmira, USA.
Cureus. 2021 Dec 21;13(12):e20573. doi: 10.7759/cureus.20573. eCollection 2021 Dec.
Median arcuate ligament syndrome refers to anatomical compression of the celiac artery and/or ganglion by fibrous attachments of the median arcuate ligament. It typically presents as a vague constellation of abdominal symptoms that are often initially attributed to various other gastrointestinal pathologies; thus, it can be very difficult to diagnose. We present a case of median arcuate ligament syndrome in a 68-year-old woman, whose diagnosis and treatment were delayed by many years as her symptoms were taught to be the result of functional abdominal pain syndrome, ultimately corrected by laparoscopic decompression of the celiac axis. This case demonstrates that surgical decompression of the celiac axis is an effective treatment for median arcuate ligament syndrome and the importance of continuing to reassess the clinical picture of patients labeled with functional abdominal pain syndrome.
正中弓状韧带综合征是指正中弓状韧带的纤维附着对腹腔干和/或神经节造成的解剖学压迫。其典型表现为一系列模糊的腹部症状，这些症状最初常被归因于各种其他胃肠道疾病；因此，诊断可能非常困难。我们报告一例68岁女性的正中弓状韧带综合征病例，其诊断和治疗被延误多年，因为她的症状最初被认为是功能性腹痛综合征的结果，最终通过腹腔镜下腹腔干减压得以纠正。该病例表明，腹腔干手术减压是治疗正中弓状韧带综合征的有效方法，同时也凸显了持续重新评估被诊断为功能性腹痛综合征患者临床表现的重要性。
