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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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REFERENCES

References: 

1. Clouse RE, Mayer EA, Aziz Q, et al. Functional abdominalpainsyndrome. Gastroenterology 130: 1492¬1497, 2006.
2. Martinez JP, Hogan GJ. Mesenteric ischemia. Emerg Med ClinNAm 22: 909-928, 2004.
3. Hariola PT. A rare obstruction ofthe coeliac artery. Amnaks Chirurgiae et Gynaecologiae Femniae 1963;52:547-9.
4. Jamieson C.W. Coeliac axis compression syndrome British Medical Journal Vaolume .1986. 293:159-160
5. Loukas M, Pinyard J, Vaid S, Kinsella C, Tariq A. Clinical Anatomy of Celiac Artery Compression Syndrome:A Review . Clinical Anatomy 20:612-617 (2007).
6. Bech FR. Celiac artery compression syndromes. Surg ClinNAm77: 409-424, 1997.
7. Fujisawa Y, Morishita K, Fukada J, Hachiro Y, Kawaharada N, Abe T. Celiac artery compression syndrome due to acute type B aortic dissection. Ann Vasc Surg 19: 553-556, 2005.
8. Alehan D, Dogan ÖF. A Rare Case: Celiac Artery Compression Syndrome in an Asymptomatic Child. Journal ofPediatric Surgery, Vol 39,No4 (April), 2004: 645-647.
9. Moneta GL, Lee RW, Yeager RA, et al: Mesenteric dupplex scanning: A blinded prospective study. J Vasc Surg 17:79-87, 1993
10. Roobottom CA, Dubbins PA: Significant disease of the celiac mesenteric arteries in asymptomatic patients: Predictive value ofDoppler sonography. AJR 161:985¬988, 1993)
11. Scholbach T. Celiac Artery Compression Syndrome in Children, Adolescents, and Young Adults, Clinical and Color Duplex Sonographic Features in a Series of 59 Cases. J Ultrasound Med 25:299-305
12. Carbonell AM, Kercher KW, Heniford BT, Mhashelkar Y, Talekar K. Laparoscopic management ofmedian arcuate ligament syndrome. Surg Endosc 19: 729,
2005.
13. Evans WE. Long-term evaluation ofthe celiac band syndrome. Surgery 76: 867-871, 1974.
14. Yamaguchi H, Arita Y, Ohkubo A, et al. A case of celiac axis compression syndrome relieved by
S.D.Ü. Tıp pak.
Derg
. 2010:17(4)/ 25-28
28
Şenol,
Celia
c compression syndrome
percutaneous transcatheter angioplasty. Nippon Shokakibyo Gakkai Zasshi (The Japanese Journal of Gastroenterology) 89: 528-531, 1992 (inJapanese).
15. Otte JA, Geelkerken RH, Oostveen E, Mensink PB, Huisman AB, Kolkman JJ. Clinical impact of gastric exercise tonometry on diagnosis and management of chronic gastrointestinal ischemia. Clin Gastroenterol Hepatol3: 660-666, 2005.
16. Kokotsakis J.N, Lambidis C.D, Lioulias A.G, Skouteli E.T, Bastounis E.A, Livesay J.J. Celiac artery compression syndrome. Cardiovascular Surgery. 2000; 8: 3: 219-222.

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