Laparoscopic Surgery in Chronic Mesenteric Ischemia: Release of the Superior Mesenteric Artery from the Median Arcuate Ligament Using the Transperitoneal Left Retrorenal Approach.
Celiac Artery
/ diagnostic imaging
Chronic Disease
Collateral Circulation
Computed Tomography Angiography
Decompression, Surgical
/ methods
Female
Humans
Laparoscopy
Median Arcuate Ligament Syndrome
/ complications
Mesenteric Artery, Superior
/ diagnostic imaging
Mesenteric Ischemia
/ diagnostic imaging
Mesenteric Vascular Occlusion
/ diagnostic imaging
Middle Aged
Splanchnic Circulation
Treatment Outcome
Vascular Patency
Journal
Annals of vascular surgery
ISSN: 1615-5947
Titre abrégé: Ann Vasc Surg
Pays: Netherlands
ID NLM: 8703941
Informations de publication
Date de publication:
Aug 2019
Aug 2019
Historique:
received:
10
12
2018
revised:
07
01
2019
accepted:
13
01
2019
pubmed:
23
4
2019
medline:
3
9
2019
entrez:
23
4
2019
Statut:
ppublish
Résumé
Median arcuate ligament (MAL) syndrome usually involves the celiac artery (CA) only. Far less frequently, both the CA and superior mesenteric artery (SMA) are compressed, leading to chronic mesenteric ischemia. We report the case of a 46-year-old woman with a 4-year history of permanent nausea, postprandial abdominal pain, and asthenia. A clear epigastric bruit was observed on physical examination. Duplex ultrasound and computed tomography angiography revealed an occlusion of the CA and a highly compressed proximal SMA by the MAL, with an important collateral mesenteric network. Laparoscopic release of the MAL using a transperitoneal retrorenal approach was performed, with excellent postoperative outcomes. Compression of the SMA by the MAL is a rare cause of chronic mesenteric ischemia. Laparoscopic release of the SMA from the MAL using a transperitoneal retrorenal approach is safe and effective. Long-term outcomes need to be further assessed.
Identifiants
pubmed: 31009713
pii: S0890-5096(19)30239-0
doi: 10.1016/j.avsg.2019.01.009
pii:
doi:
Types de publication
Case Reports
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
313.e5-313.e10Informations de copyright
Copyright © 2019 Elsevier Inc. All rights reserved.