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Synchronous celiac artery and superior mesenteric artery compression syndrome: The effect of collateral circulation on the treatment procedure

BACKGROUND: Maintaining collateral circulation is highly important in the stenosis of celiac artery (CA), superior mesenteric artery (SMA), and inferior mesenteric artery (IMA). The SMA compression is commonly reported to be accompanied by the CA compression caused by the median arcuate ligament (MA...

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Autores principales: Aday, Ulaş, Oguz, Abdullah, Özesmer, Hikmet, Bahadır, Mehmet Veysi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Babol University of Medical Sciences 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10201110/
https://www.ncbi.nlm.nih.gov/pubmed/37223283
http://dx.doi.org/10.22088/cjim.14.2.396
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author Aday, Ulaş
Oguz, Abdullah
Özesmer, Hikmet
Bahadır, Mehmet Veysi
author_facet Aday, Ulaş
Oguz, Abdullah
Özesmer, Hikmet
Bahadır, Mehmet Veysi
author_sort Aday, Ulaş
collection PubMed
description BACKGROUND: Maintaining collateral circulation is highly important in the stenosis of celiac artery (CA), superior mesenteric artery (SMA), and inferior mesenteric artery (IMA). The SMA compression is commonly reported to be accompanied by the CA compression caused by the median arcuate ligament (MAL) while the synchronous compression of CA and SMA by other ligaments has been rarely reported. CASE PRESENTATION: In this report, we present a 64-year-old female patient who presented with a postprandial abdominal pain and weight loss. Initial evaluation indicated a synchronous compression of CA and SMA caused by MAL. The patient was planned for laparoscopic MAL division due to the presence of sufficient collateral circulation between the CA and SMA that was facilitated through the superior pancreaticoduodenal artery. Following laparoscopic release, the patient improved clinically and postoperative imaging indicated that the compression on the SMA was still present and the collateral circulation was sufficient. CONCLUSION: We suggest that laparoscopic MAL division can be the primary method of choice in cases with sufficient collateral circulation between the CA and SMA.
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spelling pubmed-102011102023-05-23 Synchronous celiac artery and superior mesenteric artery compression syndrome: The effect of collateral circulation on the treatment procedure Aday, Ulaş Oguz, Abdullah Özesmer, Hikmet Bahadır, Mehmet Veysi Caspian J Intern Med Case Report BACKGROUND: Maintaining collateral circulation is highly important in the stenosis of celiac artery (CA), superior mesenteric artery (SMA), and inferior mesenteric artery (IMA). The SMA compression is commonly reported to be accompanied by the CA compression caused by the median arcuate ligament (MAL) while the synchronous compression of CA and SMA by other ligaments has been rarely reported. CASE PRESENTATION: In this report, we present a 64-year-old female patient who presented with a postprandial abdominal pain and weight loss. Initial evaluation indicated a synchronous compression of CA and SMA caused by MAL. The patient was planned for laparoscopic MAL division due to the presence of sufficient collateral circulation between the CA and SMA that was facilitated through the superior pancreaticoduodenal artery. Following laparoscopic release, the patient improved clinically and postoperative imaging indicated that the compression on the SMA was still present and the collateral circulation was sufficient. CONCLUSION: We suggest that laparoscopic MAL division can be the primary method of choice in cases with sufficient collateral circulation between the CA and SMA. Babol University of Medical Sciences 2023 /pmc/articles/PMC10201110/ /pubmed/37223283 http://dx.doi.org/10.22088/cjim.14.2.396 Text en https://creativecommons.org/licenses/by/3.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution License, (http://creativecommons.org/licenses/by/3.0/ (https://creativecommons.org/licenses/by/3.0/) ) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Aday, Ulaş
Oguz, Abdullah
Özesmer, Hikmet
Bahadır, Mehmet Veysi
Synchronous celiac artery and superior mesenteric artery compression syndrome: The effect of collateral circulation on the treatment procedure
title Synchronous celiac artery and superior mesenteric artery compression syndrome: The effect of collateral circulation on the treatment procedure
title_full Synchronous celiac artery and superior mesenteric artery compression syndrome: The effect of collateral circulation on the treatment procedure
title_fullStr Synchronous celiac artery and superior mesenteric artery compression syndrome: The effect of collateral circulation on the treatment procedure
title_full_unstemmed Synchronous celiac artery and superior mesenteric artery compression syndrome: The effect of collateral circulation on the treatment procedure
title_short Synchronous celiac artery and superior mesenteric artery compression syndrome: The effect of collateral circulation on the treatment procedure
title_sort synchronous celiac artery and superior mesenteric artery compression syndrome: the effect of collateral circulation on the treatment procedure
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10201110/
https://www.ncbi.nlm.nih.gov/pubmed/37223283
http://dx.doi.org/10.22088/cjim.14.2.396
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