Çölyak arter kompresyon sendromu
Coeliac artery compression syndrome
Özet
Median arkuat ligaman kompresyon sendromu olarak da adlandirilir. Diaframi n median arkuat ligamaninin çölyak trunkusun proksimaline basi- sina sekonder olusan gastrointestinal iskemiyle karekterizedir. Genellikle olgular asemptomatiktir ve anjiyografik olarak saptanırlar. Bunun nedeni çölyak arterin izole darliginin veya tikanikliginin gelişen kollateral dolasimla kompanze edilmesidir. Kollateral dolasim sıklıkla süperior mezenterik arterin gastroduodenal dalindan ters yönde akim gelismesiyle olur. Median arkuat ligaman kompresyon sendromu özellikle ekspirasyon ile artan epigastrik agri, kilo kaybı, abdominal rahatsizlik hissi bulunan orta-genç yaş, astenik yapili olgularda akla gelmelidir. Bu makalede çölyak arter kompresyon sendromunun tipik klinik ve anjiyografik bulgularini gösteren bir olgu sunulmuştur.
Abstract
Celiac artery compression syndrome, also called median arcuate ligament compression syndrome, causes gastrointestinal ischemia secondary to compression of the proximal portion of the celiac artery just beyond its origin by the median arcuate ligament of the diaphragm. This syndrome is frequently demonstrated on aortography performed in patients without complaints of intestinal angina. Isolated stenosis or even occlusion of the celiac artery is always compensated for by collateral circulation from the superior mesenteric artery, most commonly by reversal of flow direction in the gastroduodenal artery. Median arcuate ligament compression syndrome must be kept in mind, in young- to middle-aged asthenic patients who complain of epigastric pain (increasing with expiration), weight loss, and abdominal discomfort. We report a case with typical angiographic findings and clinical features of the celiac artery compression syndrome.
