Synchronous celiac artery and superior mesenteric artery compression syndrome: The effect of collateral circulation on the treatment procedure

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dc.contributor.authorAday, Ulas
dc.contributor.authorOguz, Abdullah
dc.contributor.authorOzesmer, Hikmet
dc.contributor.authorBahadir, Mehmet Veysi
dc.date.accessioned2024-04-24T17:18:38Z
dc.date.available2024-04-24T17:18:38Z
dc.date.issued2023
dc.departmentDicle Üniversitesien_US
dc.description.abstractBackground: Maintaining collateral circulation is highly important in the stenosis of celiac artery (CA), superior mesenteric artery (SMA), and inferior mesenteric artery (IMA). The SMA compression is commonly reported to be accompanied by the CA compression caused by the median arcuate ligament (MAL) while the synchronous compression of CA and SMA by other ligaments has been rarely reported.Case Presentation: In this report, we present a 64-year-old female patient who presented with a postprandial abdominal pain and weight loss. Initial evaluation indicated a synchronous compression of CA and SMA caused by MAL. The patient was planned for laparoscopic MAL division due to the presence of sufficient collateral circulation between the CA and SMA that was facilitated through the superior pancreaticoduodenal artery. Following laparoscopic release, the patient improved clinically and postoperative imaging indicated that the compression on the SMA was still present and the collateral circulation was sufficient.Conclusion: We suggest that laparoscopic MAL division can be the primary method of choice in cases with sufficient collateral circulation between the CA and SMA.en_US
dc.identifier.doi10.22088/cjim.14.2.396
dc.identifier.endpage400en_US
dc.identifier.issn2008-6164
dc.identifier.issn2008-6172
dc.identifier.issue2en_US
dc.identifier.pmid37223283
dc.identifier.scopus2-s2.0-85165601203
dc.identifier.scopusqualityQ3
dc.identifier.startpage396en_US
dc.identifier.urihttps://doi.org/10.22088/cjim.14.2.396
dc.identifier.urihttps://hdl.handle.net/11468/18854
dc.identifier.volume14en_US
dc.identifier.wosWOS:000994859200023
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoenen_US
dc.publisherBabol Univ Medical Sciencesen_US
dc.relation.ispartofCaspian Journal of Internal Medicine
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectMultilagament Compression Syndromeen_US
dc.subjectCollateral Circulationen_US
dc.subjectLaparoscopic Treatmenten_US
dc.titleSynchronous celiac artery and superior mesenteric artery compression syndrome: The effect of collateral circulation on the treatment procedureen_US
dc.titleSynchronous celiac artery and superior mesenteric artery compression syndrome: The effect of collateral circulation on the treatment procedure
dc.typeArticleen_US

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