A truncus coeliacus kompressziós szindróma - A hasi angina "mostohagyermeke"?

Translated title of the contribution: Celiac artery compression syndrome - Stepchild of abdominal angina?

Mihály Mucs, Iván Székely, Iván Illés, Árpád Juhász, Balázs Paál, Ágnes Sárkány, L. Madácsy, Áron Altorjay

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Background: Celiac trunk compression in few percentages of the cases can cause chronic abdominal pain that shows no connection with eating. Case report: Detailed preoperative examinations showed significant, segmental stenosis of the celiac trunk, caused by outer compression of a tendonous arc of diaphragm, in the background of abdominal pain and mesenteric ischemia of a 58-year-old woman. After preparation we have executed the surgery by removing a tight ring, located at around 8-10 mm from the origin of trifurcation, and a part of the celiac ganglion. The patient was dismissed from our hospital 6 days after surgery in good general condition. Discussion: The abdominal pain can normally be the consequence of mesenteric ischemia. The rootcasue in most of the cases is the alteration of the particular artery. The outer compression is normally responsible only for a few percentages of the cases. In our case the problem was caused by a stronger tendonous part of the hiatus aorticus. The first sign of this during the examination was a recognisable noise over the artery, which was caused by the poststenotic turbulent flow. Detailed radiological examinations executed based on this indeed proved this malfunction. Conclusion: In case of unidentified abdominal pain we have to consider the possibility of the stenosis of the celiac trunk. By our case study we would like to call the attention to the importance of the auscultation over the abdomen, which is a relevant part of the basic physical examinations. When getting to the final diagnosis, apart from the duplex doppler sonography, we also used the results of angiography. The essence of the surgery was to get rid of the outer compression of the artery, which has to be done as soon as possible in order to avoid that compression causes degeneration of the artery itself.

Original languageHungarian
Pages (from-to)1763-1766
Number of pages4
JournalOrvosi Hetilap
Volume148
Issue number37
DOIs
Publication statusPublished - Sep 16 2007

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Abdomen
Abdominal Pain
Arteries
Pathologic Constriction
Doppler Duplex Ultrasonography
Auscultation
Sympathetic Ganglia
Diaphragm
Ambulatory Surgical Procedures
Chronic Pain
Physical Examination
Noise
Angiography
Eating
Celiac Artery Stenosis from Compression by Median Arcuate Ligament of Diaphragm
Mesenteric Ischemia

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Mucs, M., Székely, I., Illés, I., Juhász, Á., Paál, B., Sárkány, Á., ... Altorjay, Á. (2007). A truncus coeliacus kompressziós szindróma - A hasi angina "mostohagyermeke"? Orvosi Hetilap, 148(37), 1763-1766. https://doi.org/10.1556/OH.2007.28126

A truncus coeliacus kompressziós szindróma - A hasi angina "mostohagyermeke"? / Mucs, Mihály; Székely, Iván; Illés, Iván; Juhász, Árpád; Paál, Balázs; Sárkány, Ágnes; Madácsy, L.; Altorjay, Áron.

In: Orvosi Hetilap, Vol. 148, No. 37, 16.09.2007, p. 1763-1766.

Research output: Contribution to journalArticle

Mucs, M, Székely, I, Illés, I, Juhász, Á, Paál, B, Sárkány, Á, Madácsy, L & Altorjay, Á 2007, 'A truncus coeliacus kompressziós szindróma - A hasi angina "mostohagyermeke"?', Orvosi Hetilap, vol. 148, no. 37, pp. 1763-1766. https://doi.org/10.1556/OH.2007.28126
Mucs M, Székely I, Illés I, Juhász Á, Paál B, Sárkány Á et al. A truncus coeliacus kompressziós szindróma - A hasi angina "mostohagyermeke"? Orvosi Hetilap. 2007 Sep 16;148(37):1763-1766. https://doi.org/10.1556/OH.2007.28126
Mucs, Mihály ; Székely, Iván ; Illés, Iván ; Juhász, Árpád ; Paál, Balázs ; Sárkány, Ágnes ; Madácsy, L. ; Altorjay, Áron. / A truncus coeliacus kompressziós szindróma - A hasi angina "mostohagyermeke"?. In: Orvosi Hetilap. 2007 ; Vol. 148, No. 37. pp. 1763-1766.
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AU - Illés, Iván

AU - Juhász, Árpád

AU - Paál, Balázs

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N2 - Background: Celiac trunk compression in few percentages of the cases can cause chronic abdominal pain that shows no connection with eating. Case report: Detailed preoperative examinations showed significant, segmental stenosis of the celiac trunk, caused by outer compression of a tendonous arc of diaphragm, in the background of abdominal pain and mesenteric ischemia of a 58-year-old woman. After preparation we have executed the surgery by removing a tight ring, located at around 8-10 mm from the origin of trifurcation, and a part of the celiac ganglion. The patient was dismissed from our hospital 6 days after surgery in good general condition. Discussion: The abdominal pain can normally be the consequence of mesenteric ischemia. The rootcasue in most of the cases is the alteration of the particular artery. The outer compression is normally responsible only for a few percentages of the cases. In our case the problem was caused by a stronger tendonous part of the hiatus aorticus. The first sign of this during the examination was a recognisable noise over the artery, which was caused by the poststenotic turbulent flow. Detailed radiological examinations executed based on this indeed proved this malfunction. Conclusion: In case of unidentified abdominal pain we have to consider the possibility of the stenosis of the celiac trunk. By our case study we would like to call the attention to the importance of the auscultation over the abdomen, which is a relevant part of the basic physical examinations. When getting to the final diagnosis, apart from the duplex doppler sonography, we also used the results of angiography. The essence of the surgery was to get rid of the outer compression of the artery, which has to be done as soon as possible in order to avoid that compression causes degeneration of the artery itself.

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