Mongelli D, Pederzoli P, Serio G, Bassi C, Abrescia F, Bertrand C
Chir Ital. 1980 Dec;32(6):1363-76.
On the basis of angiographic documentations the Authors report on 4 observations (3 men and 1 woman) of extrinsic compression of the coeliac trunk symptomatologically evidenced through abdominal pain attacks. All the patients were treated surgically by resection of the median arcuate ligament of the diaphragm. In one case distal pancreatic resection was also performed on account of accompanying chronic pancreatitis. The long-term results were excellent in 3 cases, and good in 1. The diagnosis and surgical indication were made possible after repeated biochemical and instrumental investigations in order to exclude different pathologies (vascular, biliary, pancreatic, gastrointestinal) which might account for the reported symptoms. There is still discussion on the unresolved problem of the pathogenesis of the pain, as well as on surgical tactic and the advisability of completing resection of the arcuate ligament by sympathicectomy or coeliac ganglionectomy.
基于血管造影记录，作者报告了4例（3名男性和1名女性）腹腔干外在压迫的观察病例，这些病例通过腹痛发作在症状上得到证实。所有患者均接受了手术治疗，切除了膈的正中弓状韧带。在1例病例中，由于伴有慢性胰腺炎，还进行了远端胰腺切除术。3例长期结果优秀，1例良好。经过反复的生化和器械检查以排除可能导致所报告症状的不同病理情况（血管、胆道、胰腺、胃肠道）后，才得以做出诊断并确定手术指征。关于疼痛的发病机制这一未解决的问题，以及手术策略和通过交感神经切除术或腹腔神经节切除术完成弓状韧带切除的可取性，仍存在争议。
