Jornal Vascular Brasileiro
https://www.jvascbras.org/article/doi/10.1590/1677-5449.000118
Jornal Vascular Brasileiro
Case Report

Tratamento laparoscópico da compressão do tronco celíaco pelo ligamento arqueado do diafragma associado a correção endovascular do aneurisma de artéria pancreatoduodenal: relato de caso

Laparoscopic treatment of celiac axis compression by the median arcuate ligament and endovascular repair of a pancreaticoduodenal artery aneurysm: case report

Marcio Miyamotto, Cecilia Naomi Kanegusuku, Carla Mariko Okabe, Christiano Marlo Paggi Claus, Fernanda Zandavalli Ramos, Ágata Rothert, Ana Paula Nudelmann Gubert, Ricardo César Rocha Moreira

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Resumo

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.

Palavras-chave

síndrome do ligamento arqueado mediano; aneurisma de artéria pancreatoduodenal; compressão do plexo celíaco.

Abstract

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.

Keywords

median arcuate ligament syndrome; pancreaticoduodenal artery aneurysm; celiac plexus compression.

References

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