RESUMEN
A compressão do tronco celíaco pelo ligamento arqueado mediano do diafragma pode causar sintomas inespecíficos como dor abdominal, vômitos e emagrecimento. Existe uma associação comprovada entre estenoses ou oclusões do tronco celíaco e aneurismas da artéria pancreatoduodenal. Nas situações em que essa associação ocorre, a estratégia de tratamento deve ser individualizada. Relatamos o caso de uma paciente com aneurisma de artéria pancreatoduodenal associado à compressão do tronco celíaco pelo ligamento arqueado, manejados, respectivamente, por técnicas endovasculares e laparoscópicas
Compression of the celiac axis by the median arcuate ligament of the diaphragm can cause nonspecific symptoms such as abdominal pain, vomiting, and weight loss. There is a known association between stenosis or occlusion of the celiac trunk and aneurysms of the pancreaticoduodenal artery. Treatment strategies for patients who have this association should be selected on a case-by-case basis. We describe the case of a patient with pancreaticoduodenal artery aneurysm associated with compression of the celiac trunk by the arcuate ligament, which were managed with endovascular and laparoscopic techniques, respectively
Asunto(s)
Humanos , Masculino , Femenino , Diafragma , Arteria Celíaca/diagnóstico por imagen , Laparoscopía/métodos , Procedimientos Endovasculares/métodos , Síndrome del Ligamento Arcuato Medio/fisiopatología , Síndrome del Ligamento Arcuato Medio/terapia , Aneurisma/fisiopatología , Aneurisma/terapia , Páncreas/fisiopatología , Ultrasonido/métodos , Diagnóstico por Imagen/métodos , Ecocardiografía Doppler/métodos , Stents , Constricción Patológica/complicaciones , Diagnóstico Diferencial , Arterias Mesentéricas/diagnóstico por imagenRESUMEN
Compression of the celiac axis by the median arcuate ligament of the diaphragm can cause nonspecific symptoms such as abdominal pain, vomiting, and weight loss. There is a known association between stenosis or occlusion of the celiac trunk and aneurysms of the pancreaticoduodenal artery. Treatment strategies for patients who have this association should be selected on a case-by-case basis. We describe the case of a patient with pancreaticoduodenal artery aneurysm associated with compression of the celiac trunk by the arcuate ligament, which were managed with endovascular and laparoscopic techniques, respectively.