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Karın ağrısının nadir bir sebebi: Çölyak kompresyon sendromu

A rare cause of abdominal pain: Celiac compression syndrome

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Abstract (2. Language): 
Mesenteric ischemia is an uncommon etiology of abdominal pain. Celiac axis compression syndrome (CACS) is an extremely rare cause of mesenteric ischemia due to external compression of the celiac trunk usually by median arcuat ligament. The clinical features of this syndrome includes abdominal pain, especially postprandial, diarrhea and weight loss. The dignosis is usually depends on angiography findings. Color Doppler sonography can be helpful for diagnosis. Percutan transluminal angioplasty (PTA) and surgical approaches have been suggested for the treatment of CACS. We report here, a case of CACS in a 23 year old woman presenting with unexplained abdominal pain.
Abstract (Original Language): 
Mezenterik iskemi karın ağrısının nadir bir nedenidir. Çölyak aks kompresyon sendromu, çölyak trunkusun genellikle median arkuat ligament tarafından eksternal kompresyona uğraması sonucu görülen oldukça nadir bir mezenterik iskemi sebebidir. Bu sendromun başlıca klinik bulguları, özellikle yemek sonrası olan karın ağrısı, diyare ve kilo kaybıdır. Tanı genellikle anjiografi bulgularına dayanmaktadır. Renkli doppler ultrasonografi de tanıda yardımcı olabilir. Tedavide perkütan transluminal anjioplasti ve cerrahi yaklaşımlar önerilmektedir. Bu yazıda açıklanamayan karın ağrısı nedeniyle değerlendirilen ve çölyak aks kompresyon sendromu tanısı konulan 23 yaşında bir bayan hasta bildirilmiştir.
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