Exertional Abdominal Pain In A Crew Athlete

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Exertional Abdominal Pain In A Crew Athlete - Page #4

Working Diagnosis: Celiac Artery Compression Syndrome Treatment: Laproscopic release of the median arcuate ligament Outcome: Her abdominal pain resolved. Author's Comments: Rare diagnosis with uncertain pathology. Theories behind pathology include: congenital anatomic variation and celiac nerve plexus compression rather than celiac artery compression. Results of surgical release of the median arcuate ligament have mixed outcomes. Editor's Comments: -Vascular etiologies should be considered in athletes with unexplained abdominal pain. -Multiple imaging modalities may be needed to arrive at the correct diagnosis in unexplained abdominal pain. References: Bech F MD, Loesberg A MD, Rosenblum J MD, Glagov S MD, Gewertz B MD. Median arcuate ligament compression syndrome in monozygotic twins. Journal of Vascular Surgery. May 1994; 19: 934-938. Delis K, Gloviczki P, Altuwaijri M, McKusick MC. Median arcuate ligament syndrome: open celiac artery reconstructio and ligament division after endovascular failure. Journal Vascular Surgery. 2007 Oct; 46: 799-802. Gloviczki P, Duncan A. Treatment of Celiac Artery Compression Syndrome: Does it Really Exist? Perspectives in Vascular Surgery and Endovascular Therapy. 2007; 19: 259-263. Jimenez JC, Harlander-Locke M, Dutson EP. Open and laproscopic treatment of median arcuate ligament syndrome. Journal of Vascular Surgery. Sep 2012; 56: 869-873. Okten R, Kucukay F, Tola M, Bostanci B, Cumhur T. Is celiac artery compression syndrome genetically inherited?: A case series from a family and review of the literature. European Journal of Radiology. 2012; 81: 1089-1093. Scovell S MD, Hamdan A MD. Celiac artery compression syndrome. Up-to-Date. January 2014. Return To The Case Studies List.		Back
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