celiac artery compression syndrome
Introduction
Introduction to celiac artery compression syndrome Celiac Axis Compression Syndrome refers to a group of symptoms characterized by visceral ischemia caused by localized stenosis of the celiac artery, clinically characterized by intermittent dull pain in the upper abdomen with nausea, vomiting or diarrhea. The intrinsic is also known as MarableSyndrome. More common in young women. basic knowledge The proportion of sickness: 0.002%-0.003% Susceptible people: more common in young women Mode of infection: non-infectious Complications: nausea and vomiting
Cause
Causes of celiac artery compression syndrome
Cause:
Most of the syndrome is caused by compression of the celiac artery by excessive tendon nerve fibers in the tendon or the celiac plexus. No atherosclerosis and syphilis and other diseases.
Due to congenital anatomical factors, the celiac artery is placed too high on the aorta, or the diaphragm attachment point is too low, which can cause compression of the celiac artery. In many cases, the left and right diaphragmatic muscles are connected into a fibrous band, the middle ligament, which forms the leading edge of the aortic rupture. Therefore, the middle ligament is also an important factor in the external compression of the celiac artery. In addition, the celiac plexus is often entangled with fibrous tissue and can also cause proximal compression of the celiac artery.
However, the compression of the acquired factors of the celiac artery is relatively rare, such as the celiac artery compression syndrome caused by the inflammatory mass of granulation tissue produced by sarcoma-like disease.
Prevention
Prevention of celiac artery compression syndrome
There is no organic disease in this diseased artery and no preventive measures. A small number of patients will be induced when they are overworked, full of meals, strenuous exercise or mood swings. Therefore, it is necessary to pay attention to adjusting diet, avoid overeating, drinking alcohol, excessive eating of greasy food, etc., and at the same time, work and rest should be avoided to avoid strenuous exercise. Overloading, as well as emotional or violent fluctuations. Patients with a history of hypertension should be treated accordingly.
Complication
Complications of celiac artery compression syndrome Complications, nausea and vomiting
Visceral ischemic necrosis. Due to compression, stenosis, or acute occlusion of the celiac artery, the intestinal or other abdominal organs are rapidly necrotic due to ischemia and hypoxia. Sudden upper abdominal or umbilical knife-like colic is accompanied by severe nausea. Symptoms such as vomiting, watery or bloody diarrhea. Sudden high fever, increased abdominal pain. At this time, if the diagnosis is delayed, the patient often enters a state of shock and coma, and is even life-threatening.
Symptom
Symptoms of celiac artery compression syndrome Common symptoms Abdominal pain Diarrhea Gastrointestinal symptoms Nausea Abdominal pain Increased intra-abdominal pressure
The clinical manifestations are non-specific. For the unexplained upper abdominal pain, especially in women, the disease should be considered. The diagnosis is mainly based on celiac angiography. If the celiac angiography shows localized stenosis, it can be diagnosed. B-mode ultrasound, CT examination and magnetic resonance (MRI) Check the size and extent of the tumor to help diagnose.
More common in young women, mainly in the intermittent upper abdominal pain unrelated to diet, mainly with dull pain, may be associated with non-specific gastrointestinal symptoms such as nausea, vomiting or diarrhea, the upper abdomen can hear a louder systolic period Blowing noise, not conduction down, a small number of patients can be asymptomatic.
Examine
Examination of celiac artery compression syndrome
Celiac angiography can be diagnosed with localized stenosis. B-mode ultrasound, CT and magnetic resonance imaging (MRI) reveal the size and extent of the tumor, which can help diagnose.
Diagnosis
Diagnosis and diagnosis of celiac artery compression syndrome
Need to identify with abdominal aortic aneurysm, abdominal aortic aneurysm is mostly caused by atherosclerosis, mainly occurs in the branches of the renal artery, often fusiform enlargement, often no obvious symptoms before rupture.
