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腹腔镜下松解治疗与腹腔干-肠系膜上动脉相关的正中弓状韧带压迫综合征

Laparoscopic Release for Median Arcuate Ligament Compression Syndrome Associated with a Celiac-Mesenteric Trunk.

作者信息

Cawich Shamir O, Harnanan Dave, Pran Lemuel

机构信息

Department of Surgery, University of the West Indies, St. Augustine Campus, Trinidad and Tobago West Indies.

出版信息

Case Rep Vasc Med. 2022 Apr 22;2022:3595603. doi: 10.1155/2022/3595603. eCollection 2022.

DOI:10.1155/2022/3595603
PMID:35494098
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9054496/
Abstract

The median arcuate ligament compression syndrome is a rare entity that occurs in 2 per 100,000 unselected individuals. We present a case where the median arcuate ligament compression syndrome was associated with an equally uncommon anatomic variation-a celiac-mesenteric trunk, which occurs in 0.42-2.7% of unselected individuals. We could find no prior report of a celiac-mesenteric trunk being associated with the median arcuate ligament compression syndrome. This report also adds to the literature to show that a laparoscopic approach to median arcuate ligament release is feasible.

摘要

正中弓状韧带压迫综合征是一种罕见疾病,在每10万名未经筛选的个体中约有2人发病。我们报告了一例正中弓状韧带压迫综合征合并同样罕见的解剖变异——腹腔干-肠系膜上动脉共干的病例,该解剖变异在未经筛选的个体中发生率为0.42%-2.7%。我们未发现此前有腹腔干-肠系膜上动脉共干与正中弓状韧带压迫综合征相关的报道。本报告还补充了文献资料,表明腹腔镜下正中弓状韧带松解术是可行的。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8db6/9054496/968dec5fc37f/CRIVAM2022-3595603.006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8db6/9054496/d5fec2b3cc30/CRIVAM2022-3595603.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8db6/9054496/512250d2e8aa/CRIVAM2022-3595603.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8db6/9054496/0b435557a1f5/CRIVAM2022-3595603.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8db6/9054496/e3750f1ea8e4/CRIVAM2022-3595603.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8db6/9054496/48a16d5a0ba0/CRIVAM2022-3595603.005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8db6/9054496/968dec5fc37f/CRIVAM2022-3595603.006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8db6/9054496/d5fec2b3cc30/CRIVAM2022-3595603.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8db6/9054496/512250d2e8aa/CRIVAM2022-3595603.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8db6/9054496/0b435557a1f5/CRIVAM2022-3595603.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8db6/9054496/e3750f1ea8e4/CRIVAM2022-3595603.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8db6/9054496/48a16d5a0ba0/CRIVAM2022-3595603.005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8db6/9054496/968dec5fc37f/CRIVAM2022-3595603.006.jpg

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本文引用的文献

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Clinico-pathologic findings in patients with median arcuate ligament syndrome (celiac artery compression syndrome).中弓状韧带综合征(腹腔动脉压迫综合征)患者的临床病理表现。
Ann Diagn Pathol. 2021 Jun;52:151732. doi: 10.1016/j.anndiagpath.2021.151732. Epub 2021 Mar 22.
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Median arcuate ligament syndrome.正中弓状韧带综合征。
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Laparoscopic treatment of median arcuate ligament syndrome.腹腔镜治疗正中弓状韧带综合征
Intractable Rare Dis Res. 2019 May;8(2):108-112. doi: 10.5582/irdr.2019.01031.
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Median Arcuate Ligament Syndrome-Review of This Rare Disease.正中弓状韧带综合征——这种罕见疾病的综述。
JAMA Surg. 2016 May 1;151(5):471-7. doi: 10.1001/jamasurg.2016.0002.
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Laparoscopic decompression as treatment for median arcuate ligament syndrome.腹腔镜减压术治疗正中弓状韧带综合征
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Surgical treatment of median arcuate ligament syndrome: case report and review of literature.正中弓状韧带综合征的外科治疗:病例报告及文献复习
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Anatomical variations in the origins of the celiac axis and the superior mesenteric artery: MDCT angiographic findings and their probable embryological mechanisms.腹腔干和肠系膜上动脉起源的解剖变异:MDCT血管造影表现及其可能的胚胎学机制。
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Celiac axis and common hepatic artery variations in 5002 patients: systematic analysis with spiral CT and DSA.5002 例患者腹腔干和肝总动脉变异的螺旋 CT 和 DSA 系统分析。
Radiology. 2010 Apr;255(1):278-88. doi: 10.1148/radiol.09090389.
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