KRONİK KARIN KAĞRISININ NADİR BİR NEDENİ: MEDİAN ARKUAT LİGAMENT SENDROMU A Rare Cause of Chronic Abdominal Pain: Median Arcuate Ligament Syndrome

ÖZETMedian arkuat ligament sendromu, median arkuat ligamentin çölyak arter köküne basısı sonucuoluşur. Çölyak arter kökünde basıya sekonder gelişen darlık gastrointestinal sistem kan akımındaazalmaya neden olur. Sendrom kendini genelikle postprandial ağrı ile belli eder ve özelikle ekspiryumdadaha belirgin ağrı oluşur. Burada kronik karın ağısı ile tetkik edilip median arkuat ligamentsendromu tanısı konulan ve cerrahi tedaviyle düzelme sağlanmayıp çölyak arter stentleme ile tamamenasemptomatik hale gelen genç bir erkek hasta sunulacaktır.Anahtar Kelimeler: Kronik karın ağrısı; Çölyak arter; Median arkuat ligamentABSTRACTMedian arcuate ligament syndrome occurs when median arcuate ligament pressures the root ofthe celiac artery. The root secondry to compression of the celiac artery stenosis causes decreasedblood flow to the gastrointestinal tract. Generally it reveals itself with the post-prandial pain andpain increases with expirium. We present a young male patient with median arcuate ligamentsyndrome whom no improvement is achieved with surgical treatment and recovered with celiacartery stenting.Keywords: Chronic abdominal pain; Celiac artery; Median arcuate ligament

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  • 1. Aschenbach R, Basche S, Vogl TJ. Compression of the celiac trunk caused by median arcuate ligament in children and adolescent subjects: evaluation with contrast-enhanced MR angiography and comparison with Doppler US evaluation. J Vasc Interv Radiol 2011;22:556–61. 2. Desmond CP, Roberts SK. Exercise-related abdominal pain as a manifestation of the median arcuate ligament syndrome. Scand J Gastroenterol 2004;39:1310–3. 3. Park CM, et all. Celiac Axis Stenosis: Incidence and Etiologies in Asymptomatic Individuals Korean Journal of Radiology; 2001 March; 2: 8-13 4. Horton K M, Talamini M A, Fishman E K. Median arcuate ligament syndrome: evaluation with CT angiography. Radiographics. 2005; 25(5):1177–82. 5. Oktay Ö, Memiş A, Parıldar M, Oran İ. Coeliac artery compression syndrome. Akademik Gastroentroloji Dergisi, 2003; 2 (3): 142-145. 6. Hongsakul K, Rookkapan S. Sungsiri J, Tubtawee T. A severe case of median arcuate ligament syndrome with successful angioplasty and stenting. Case Rep Vasc Med. 2012;2012:129870. 7. Grotemeyer D, Duran M, Iskandar F, Blondin D, Nguyen K, Sandmann W. Median arcuate ligament syndrome: vascular surgical therapy and follow-up of 18 patients, Langenbecks Arch Surg, 2009; 394: 1085–92.
Bozok Tıp Dergisi-Cover
  • ISSN: 2146-4006
  • Yayın Aralığı: Yılda 4 Sayı
  • Başlangıç: 2015
  • Yayıncı: Bozok Üniversitesi
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