Truncus coeliacus compression syndrome I77.4

Harjola 1963 and Dunbar 1965

Compression of the coeliac trunk by the medial arcuate ligament of the diaphragm and mechanical irritation of the ganglion with secondary fibrosis and neuromb formation in the plexus area.

f>m; in larger collectives the mean age of onset of the disease is 40.6 years (17-77 years).

Intermittent abdominal pain gfls. in combination with nausea, dizziness and diarrhoea, weight loss, which in an advanced stage is comparable to postprandial angina abdominalis. The younger age of the patients generally speaks against the latter diagnosis

1. Czihal M et al (2015) Vascular syndromes. Vasa 44:419-434.
2. Dunbar JD et al (1965) Compression of the celiac trunk and abdominal angina. Am J Roentgenol 95: 731-744
3. Harjola PT (1963) A rare obstruction of the celiac artery. Ann Chir Gynec 2:547-550
4. Kim EN et al (2016) Median Arcuate Ligament Syndrome Review of This Rare Disease. JAMA Surg 151:471-7.
   Klimas A et al. (2015) Laparoscopic treatment of celiac artery compression syndrome in children and adolescents. Vasa 44:305-312.
5. Rubinkiewicz M et al. (2015) Laparoscopic decompression as treatment for median arcuate ligament syndrome. Ann R Coll Surg Engl 97:e96-9.
6. Weber JM et al (2015) Median Arcuate Ligament Syndrome Is Not a Vascular Disease. Ann Vasc Surg 30:22-7.