Laparoscopic approach for the multiple abdominal vascular entrapment syndrome.

Begoña Estraviz, J Antonio Arévalo, Enma Eizaguirre, Eduardo Jiménez, Miguel Corcostegui, Juan M Goicoechea, Roberto Maniega, F Javier Ibáñez

Journal: Hepato-gastroenterology 2012;59(113):175-7

PMID: 22251534

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Abstract

We report an unusual case of a 25-year-old man affected by several vascular entrapment abdominal processes: celiac axis compression or Dunbar syndrome, superior mesenteric artery syndrome or Wilkie's disease and Nutcracker syndrome implying compression of the left renal vein. We discuss the diagnosis that was established by contrast-enhanced spiral computed tomography scan and magnetic resonance angiography. Once diagnosed the patient was treated conservatively by enteral high caloric diet in order to obtain a weight gain, however as it did not relieve the symptomatology of pain and vomit we opted for a surgical procedure. The therapeutic options were reviewed, highlighting the laparoscopic approach, which was the one we chose since it provides a less invasive procedure than open surgery but is an equally effective method of treatment.

Address: Hospital de Galdakao, Vizcaya, Spain. [email protected]

DOI: 10.5754/hge10452

MeSH Terms: Adult, Arterial Occlusive Diseases, Celiac Artery, Constriction, Pathologic, Contrast Media, Enteral Nutrition, Humans, Laparoscopy, Magnetic Resonance Angiography, Male, Renal Nutcracker Syndrome, Superior Mesenteric Artery Syndrome, Tomography, X-Ray Computed, Treatment Outcome