Ignashov A M, Lisochkin B G
Arkh Patol. 1980;42(6):41-6.
The results of clinico-morphological examinations of 155 patients (of them 118 operated on) with extravasal stenosis of the celiac trunk due to the squeezing of the celiac plexus by the median arcuate ligament, cruses of the diaphragm, and neurofibrous tissue are presented. All the patients had the symptoms typical of "abdominal angina". The tissues taking part in the squeezing of the celiac trunk: the sympathetic ganglion (27 patients), nerve trunks (66 patients), and the surrounding connective tissue (48 patients) were all characterized by inflammatory and sclerotic alterations. Alterations in the form of manifestations of the peptic and duodenal ulcer were found in 18.7% of the patients and various variants of chronic gastritis in 95.4%. Morphological investigations of the liver condition (78 patients) revealed changes in this organ (increased content of lipofuscin, sclerosis, protein and fatty dystrophy, infiltration). The clinical manifestations and morphological alterations are caused by the blood flow disturbance in the celiac trunk due to its stenosis.
本文介绍了155例因正中弓状韧带、膈脚和神经纤维组织挤压腹腔神经丛导致腹腔干血管外狭窄患者（其中118例接受了手术）的临床形态学检查结果。所有患者均有“腹型心绞痛”的典型症状。参与挤压腹腔干的组织：交感神经节（27例）、神经干（66例）和周围结缔组织（48例）均有炎症和硬化改变。18.7%的患者出现消化性溃疡和十二指肠溃疡表现形式的改变，95.4%的患者出现各种类型的慢性胃炎。对78例患者肝脏状况的形态学研究发现该器官有变化（脂褐素含量增加、硬化、蛋白质和脂肪营养不良、浸润）。临床表现和形态学改变是由腹腔干狭窄导致的血流紊乱引起的。
