Celiac artery compression syndrome. Mini-review

Rongies-Kosmol, Magdalena; Jakimowicz, Tomasz

doi:10.5603/aa.2015.0005

Cited by 9 publications

(6 citation statements)

References 19 publications

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“…The celiac artery, which is the first major branch of the abdominal aorta, originates at the level of the 12 th thoracic vertebrae. The relatively high origin of the celiac artery with low insertion of the diaphragm predisposes toward compression of the adjacent vascular structures, including the celiac artery and nervous structures, the celiac plexus containing celiac ganglia, and branches of the phrenic nerve [ 1 , 9 , 10 ].…”

Section: Discussionmentioning

confidence: 99%

Combined Treatment of Multiple Splanchnic Artery Aneurysms Secondary to Median Arcuate Ligament Syndrome: A Case Study and Review of the Literature

et al. 2020

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Patient: Female, 45-year-old Final Diagnosis: Multiple splanchnic artery aneurysms secondary to median arcuate ligament syndrome • occlusion of the coeliac trunk • significant stenosis of the superior mesenteric artery Symptoms: Abdominal pain • postprandial abdominal pain • weight loss Medication:— Clinical Procedure: Aorto-hepatic bypass • endovascular aneurysm embolization Specialty: Surgery Objective: Rare disease Background: Median arcuate ligament syndrome (MALS) is a rare and often misdiagnosed condition affecting about 0.4% of the population, typically ages 20–50 years old, and more frequently females. Caused by the compression of the celiac artery and adjacent nervous structures by the median arcuate ligament, it is typically manifested by postprandial abdominal pain, nausea or vomiting, and loss of weight. This condition also results in compensatory increased blood flow in peripancreatic arcades, facilitating formation of true aneurysms of the visceral vessels. Case Report: A 45-year-old woman with hypertension and left inferior renal pole cysts was referred to our department due to chronic, recurrent postprandial abdominal pains, nausea, and weight loss of approximately 15 kg in 1 year. A computed tomography (CT) scan demonstrated complete occlusion of the celiac trunk, significant stenosis of the superior mesenteric artery, and multiple aneurysms up to 17 mm in collateral circulatory vessels. Surgical decompression of the median arcuate ligament was performed and venous bypass was implanted between the aorta and the common hepatic artery, resulting in restoration of proper blood in the visceral circulation. Subsequently, 2 endovascular embolizations of visceral aneurysms were successfully performed. In the 48-month follow-up period, there was resolution of symptoms and no aneurysm formation was observed. Conclusions: Endovascular methods should be the treatment of choice in patients with splanchnic artery aneurysms. However, in patients with multiple aneurysms secondary to MALS, arterial reconstruction may be considered prior to performing an endovascular procedure to restore physiological blood flow in the visceral circulation.

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Section: Discussionmentioning

confidence: 99%

Combined Treatment of Multiple Splanchnic Artery Aneurysms Secondary to Median Arcuate Ligament Syndrome: A Case Study and Review of the Literature

et al. 2020

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“…Однако симптомы редукции кровотока отмечаются лишь у каждого пятнадцатого индивидуума с отмеченными нарушениями анатомии. В популяции распространенность синдрома компрессии чревного ствола составляет 0,4 % [4, 6,18].…”

Section: Introductionunclassified

The diagnosis of celiac trunk compression syndrome combined with gastroesophageal reflux disease

et al. 2018

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The celiac trunk compression syndrome and the gastroesophageal reflux disease are quite common pathological conditions in the population of economically developed countries. The frequency of combining and the semiotics these illness has not been studied. There are no approaches to the diagnosis and treatment of gastroesophageal reflux disease, which developed on background of chronic ischemia of the abdominal cavity organs due to occlusion of the celiac trunk. Few papers devoted to this subject are limited to a small series of clinical observations without a detailed understanding of the problem and finding answers to these questions. The article presents an analysis of the clinical manifestations and results of instrumental diagnosis in 84 patients with a combination of the celiac trunk compression syndrome and the gastroesophageal reflux disease treated from 2011 to 2015 years. In this work the main symptoms characteristic of both diseases combination have been identified. A detailed description and characteristic of the basic methods of diagnostics are given. A practical algorithm for the detection of gastroesophageal reflux disease links with the celiac trunk compression syndrome is presented and justified in approach.

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confidence: 99%

“…MALS or celiac artery compression syndrome is generally regarded as a rare disease occurring in 0.4% of the population . However, asymptomatic MALS happens to be found incidentally in 2.4%‐8% of the people on examination . This syndrome is induced by the overgrowth of the inferiorly placed median arcuate ligament of the diaphragm, leading to celiac artery compression during the expiration phase.…”

mentioning

confidence: 99%

“…This syndrome is induced by the overgrowth of the inferiorly placed median arcuate ligament of the diaphragm, leading to celiac artery compression during the expiration phase. Common symptoms include postprandial epigastric pain, nausea/vomiting, and mild weight loss . The following three requirements need to be met to diagnose MALS: (a) occurrence of characteristic symptoms; (b) exclusion of other causes of the symptoms; and (c) confirmation of celiac axis stenosis without atherosclerosis through additional examination .…”

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confidence: 99%

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Isolated superior mesenteric artery dissection and median arcuate ligament syndrome

Tsuchida

Komiyama

Saruya

et al. 2019

J of Gen and Family Med

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Celiac artery compression syndrome. Mini-review

Abstract: Abstract

Cited by 9 publications

References 19 publications

Combined Treatment of Multiple Splanchnic Artery Aneurysms Secondary to Median Arcuate Ligament Syndrome: A Case Study and Review of the Literature

Combined Treatment of Multiple Splanchnic Artery Aneurysms Secondary to Median Arcuate Ligament Syndrome: A Case Study and Review of the Literature

The diagnosis of celiac trunk compression syndrome combined with gastroesophageal reflux disease

Isolated superior mesenteric artery dissection and median arcuate ligament syndrome

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