Authors
Batrashov V.A., Dzhalaev F.Sh., Yudaev S.S., Sergeev O.G., Adilsultanov E.B.
Pirogov National Medical and Surgical Center, Moscow
Abstract
Celiac artery compression syndrome is a rare condition that causes chronic postprandial pain and weight loss, pathogenetically resulting from compression of the celiac trunk by the median arcuate ligament. This article presents a clinical case of an 18-year-old patient with recurrent symptoms following laparoscopic decompression and angioplasty, who was diagnosed with persistent stenosis of the celiac artery. A reoperation via an open approach was performed, involving complete decompression and splanchnic ganglionectomy. At the 4-year follow-up, sustained remission was observed: the pain syndrome was relieved, and no signs of restenosis were detected. When minimally invasive methods prove ineffective, open surgical treatment provides a reliable and long-term outcome.
Keywords: Dunbar syndrome, celiac trunk compression syndrome, chronic abdominal pain, extravasal compression of the celiac artery.
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