Post-esophagectomy Symptomatic Dunbar Syndrome: A rare diagnosis of abdominal pain after surgery

Takeda, Flávio Roberto; Darce, George Felipe Bezerra; Sobrado, Lucas Faraco; Faria, Luisa Leitão de; Tustumi, Francisco; Sallum, Rubens Antônio Aissar; Rocha, Manoel de Souza; Ribeiro, Ulysses; Cecconello, Ivan

doi:10.1016/j.ijscr.2020.02.065

Cited by 2 publications

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References 11 publications

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“…In fact, there is still no consensus regarding its origin, as some authors argue that it is caused by celiac plexus compression and others by CA ischemia [ 45 ]. The syndrome can be congenital or acquired, usually after surgery [ 46 ]. It has a higher incidence in women.…”

Section: Dunbar Syndromementioning

confidence: 99%

Vascular compression syndromes: a pictorial review

et al. 2022

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Vascular compression syndromes include a group of rare changes due to extrinsic compression of veins or arteries by surrounding structures. Often these pathologies are underestimated due to the rarity, poor knowledge and non-specificity of symptoms. The best known are Eagle syndrome, Thoracic Outlet syndrome, Nutcracker syndrome, May-Thurner syndrome, Dunbar syndrome and Popliteal Entrapment syndrome. This work summarizes the main ultrasonographic characteristics, symptoms and treatments of choice. Knowledge of these characteristic signs is essential for the differential diagnosis. Failure to diagnose these rare diseases can expose patients to serious complications and risks to their health.

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Section: Dunbar Syndromementioning

confidence: 99%

Vascular compression syndromes: a pictorial review

et al. 2022

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“…Some authors hypothesize that the typical pain of the syndrome is due to stenosis and ischemia of the CA [ 8 ], while others claim that the symptoms are caused by compression of the celiac plexus. In the literature, it is also claimed that there are congenital factors [ 9 ], but cases in which stenosis has occurred following surgery have been reported [ 10 ]. DS is most common in women ages 20–50 years.…”

Section: Introductionmentioning

confidence: 99%

The Role of Ultrasound in Dunbar Syndrome: Lessons Based on a Case Report

et al. 2020

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Patient: Male, 55-year-old Final Diagnosis: Dunbar syndrome Symptoms: Epigastric pain • weight loss Medication: — Clinical Procedure: None Specialty: Gastroenterology and Hepatology • Radiology Objective: Rare disease Background: Dunbar syndrome is a rare vascular alteration caused by the abnormal course of the median arcuate ligament of the diaphragm, which in some patients causes chronic compression of the celiac artery and can cause non-specific symptoms such as diarrhea, retro-sternal pain, vomiting, swelling, and nausea, or a typical symptomatic triad with weight loss, post-prandial abdominal pain, and epigastric murmur. Color Doppler ultrasound and duplex Doppler ultrasound provide a complete diagnostic framework of this disease. Case Report: We describe a case of 55-year-old man with post-prandial epigastric pain, significant weight loss, and several episodes of retro-sternal pain. He underwent multidetector computed tomography of the abdomen and color duplex Doppler ultrasound examination of the celiac artery that highlighted stenosis of the celiac artery, more severe in expiratory apnea. The computed tomography showed the typical aspect of the celiac artery, with the “hook sign”. A duplex Doppler ultrasound examination showed a significant increase in peak speed (226 cm/s) due to severe stenosis of the celiac artery by the median arched ligament of the diaphragm. Conclusions: This case is unique due to the severity of the celiac artery stenosis and the unusual clinical presentation of the patient who had frequent episodes of retro-sternal pain. The significant increase in peak velocity in the celiac artery in expiratory apnea, if associated with the typical symptomatology in the absence of other alterations of the splanchnic vessels, can be considered, in our opinion, sufficient for the diagnosis of Dunbar syndrome.

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Post-esophagectomy Symptomatic Dunbar Syndrome: A rare diagnosis of abdominal pain after surgery

Cited by 2 publications

References 11 publications

Vascular compression syndromes: a pictorial review

Vascular compression syndromes: a pictorial review

The Role of Ultrasound in Dunbar Syndrome: Lessons Based on a Case Report

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