Dunbar’s Syndrome and Superior Mesenteric Artery’s Syndrome: A Rare Association

Sianesi, M; Soliani, P.; Arcuri, Maria Francesca; Bezer, Lamia; Iapichino, Gioacchino; Río, Paolo Del

doi:10.1007/s10620-006-9438-0

Cited by 13 publications

(9 citation statements)

References 17 publications

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“…It develops secondary to compression of the third portion of the duodenum by the superior mesenteric artery. Literature studies have reported concomitant cases (11).…”

Section: Discussionmentioning

confidence: 99%

The investigation of incidence and multidetector computed tomography findings of median arcuate ligament syndrome

2018

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Background/aim: This study aims to evaluate the incidence and multidetector computed tomography (MDCT) findings of median arcuate ligament syndrome (MALS). Materials and methods: Between January 2010 and September 2016 a total of 4028 patients who underwent angiography for MDCT based on the clinical indications for abdominal pain were retrospectively analyzed. Results: The typical signs of MALS were identified in a total of 141 (3.5%) patients. Among all patients, 84 (59%) were male and 57 (41%) were female. The mean age was 42 years (range: 24 to 71 years). The incidence of celiac artery stenosis was 30% to 50% in 45 patients (32%) and 51% to 90% in 96 patients (68%). Poststenotic dilatation was reported in 74 patients (52%). Collateral vascular structures from the superior mesenteric artery were observed in 5 patients (3.5%). Twenty-one patients (14.9%) underwent laparoscopic surgery with significant stenosis. Conclusion: MALS is a rare vascular pathology. It is especially important to recognize the presence of MALS with an epigastric pain that increases with expiration in adults and also its etiology before interventional procedures. MDCT visualization made the diagnosis of MALS easy.

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“…It develops secondary to compression of the third portion of the duodenum by the superior mesenteric artery. Literature studies have reported concomitant cases (11).…”

Section: Discussionmentioning

confidence: 99%

The investigation of incidence and multidetector computed tomography findings of median arcuate ligament syndrome

2018

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“…These reports were soon followed by a number of publications from various institutions around the world that documented variable but for the most part successful outcomes after treating this problem with decompression of the CA and correction of any intrinsic stenosis in the vessel when indicated. [3][4][5][6][7][8][9][10][11][12] The principle source of skepticism about CACS can be traced primarily to a publication in 1972 by a preeminent vascular surgeon of the time, D. Emerick Szilagyi, 13 as well as one by Brandt and Boley 14 published in 1978. The authors of these articles conceded that the bulk of the published literature reported largely successful outcomes with treating CA compression, and they introduced no meaningful data of their own to refute the diagnosis, yet they forcefully argued against the concept of CACS.…”

mentioning

confidence: 99%

Laparoscopic management of celiac artery compression syndrome

Roseborough

2009

Journal of Vascular Surgery

109

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“…However, their association was seldom studied in the literature. Sianesi et al reported 59 patients affected by CACS and 28 by SMAS [18]. The coexistence of both syndromes in 8 patients was observed in their study.…”

Section: Discussionmentioning

confidence: 55%

Celiac Artery Compression Syndrome: An Experience in a Single Institution in Taiwan

Chou

Lin

Feng

et al. 2012

Gastroenterology Research and Practice

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Celiac artery compression syndrome (CACS) or median arcuate ligament (MAL) syndrome is a rare vascular disease. The clinical manifestations of CACS include the triad of postprandial pain, vomiting, and weight loss. The pathogenesis of CACS is the external compression of celiac artery by the MAL or celiac ganglion. Moreover, some authors also reported the compression with different etiologies, such as neoplasms of pancreatic head, adjacent duodenal carcinoma, vascular aneurysms, aortic dissection, or sarcoidosis. In the literature, most cases of CACS were reported from Western countries. In contrast, this disease was seldom reported in Oriental countries or regions, including Taiwan. Superior mesenteric artery syndrome (SMAS) is also a rare disease characterized by compression of the third portion of the duodenum by the SMA. The clinical features of SMAS are postprandial pain, vomiting, and weight loss. To date, there are no guidelines to ensure the proper treatment of patients with CACS because of its low incidence. Thus, tailored therapy for patients with CACS remains a challenge as well as the prediction of clinical response and prognosis. The aim of our present study was to investigate the clinical features, the association with SMAS, treatments, and outcomes of patients with CACS in a single institution in Taiwan.

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Dunbar’s Syndrome and Superior Mesenteric Artery’s Syndrome: A Rare Association

Cited by 13 publications

References 17 publications

The investigation of incidence and multidetector computed tomography findings of median arcuate ligament syndrome

The investigation of incidence and multidetector computed tomography findings of median arcuate ligament syndrome

Laparoscopic management of celiac artery compression syndrome

Celiac Artery Compression Syndrome: An Experience in a Single Institution in Taiwan

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