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Truncus coeliacus-kompressionssyndrom

Qasam M. Ghulam1, Kim K. Bredahl1, Thomas Axelsen2, Lisbeth E. Hvolris3, Viggo B. Kristiansen3, Svend Schulze3, Lisbeth G. Jørgensen1, 4, Torben V. Schroeder4, 5, 6 & Jonas P. Eiberg1, 4 1) Karkirurgisk Klinik, Rigshospitalet 2) Radiologisk Klinik, Rigshospitalet 3) Gastroenheden, Kirurgisk Sektion, Hvidovre Hospital 4) Det Sundhedsvidenskabelige Fakultet, Københavns Universitet 5) Center for Klinisk Uddannelse, Region Hovedstaden 6) Center for HR, Region Hovedstaden Ugeskr Læger 2015;177:V03150284
Ugeskr Læger 2015;177:V03150284
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Median arcuate ligament syndrome
The median arcuate ligament syndrome is a rare entity and poorly described in Danish literature. The syndrome is a diagnosis of exclusion and is characterized by chronic abdominal pain, postprandial pain and weight loss. It is believed that the median arcuate ligament, being a fibrous structure of diaphragm, compresses the coeliac trunk thus causing stenosis and malperfusion of the gastrointestinal organs. Until recently, there has been some reluctance to consider intervention with revascularization or ligament release. Within the latest decade minimally invasive techniques, including laparoscopic release of the median arcuate ligament, have shown promising results.
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