What Is Arcuate Ligament Syndrome?
Celiac arterial compression syndrome refers to a group of symptoms such as bowel ligament or diaphragmatic foot, nerve tissue and other causes of celiac artery compression, which leads to mesenteric ischemia, which causes abdominal pain and weight loss.
Basic Information
- Visiting department
- Vascular surgery
- Multiple groups
- Young women
- Common causes
- Excessive nerve fiber tissue in the tendon or celiac plexus in diaphragmatic arch caused by compression of celiac artery
- Common symptoms
- Intermittent upper abdominal dull pain with nausea, vomiting, or diarrhea
Causes of celiac arterial compression syndrome
- Most of them are caused by the excessive compression of the celiac artery by the excessive nerve fiber tissue in the tendon or celiac plexus in the diaphragm.
Clinical manifestations of celiac arterial compression syndrome
- More common in young women. It is mainly manifested as intermittent upper abdominal pain that is not related to diet, mainly blunt pain, and may be accompanied by nonspecific gastrointestinal symptoms such as nausea, vomiting or diarrhea. A louder systolic hair-like noise can be heard in the upper abdomen, which does not conduct downward. A few patients may be asymptomatic.
Assistant examination of celiac arterial compression syndrome
- Doppler ultrasound
- Blood flow measurement can be used to identify celiac artery compression and superior mesenteric artery stenosis in patients with arteriosclerosis. High accuracy in young and thin patients.
- 2.CT vessel scan
- Can confirm the celiac artery stenosis and its proximal dilatation, and even enlarged collateral vessels.
- 3. Arteriography
- The diagnosis of celiac arterial compression syndrome relies on arteriography.
Diagnosis of celiac arterial compression syndrome
- There is no specific clinical manifestation, especially for women with unexplained upper abdominal pain. Diagnosis is mainly based on celiac arteriography.
Differential diagnosis of celiac artery compression syndrome
- It needs to be differentiated from abdominal aortic aneurysm. Abdominal aortic aneurysm is mostly caused by atherosclerosis, which mainly occurs below the branch of renal artery. It often expands in a spindle shape and often has no obvious symptoms before rupture.
Treatment of celiac arterial compression syndrome
- Symptoms are significant, with obvious post-prandial abdominal pain, weight loss, upper abdominal murmur, and angiography confirmed abdominal artery compression, and distal vasodilatation, and a large number of collateral circulation, the surgical effect is obvious.