Celiac axis compression syndrome: laparoscopic approach in a strange case of chronic abdominal pain in 71 years old man
Eretta Costantino,
Ferrarese Alessia,
Olcese Sonja,
Imperatore Mikaela,
Francone Elisa,
Bianchi Claudio,
Bruno Maria Santina,
Sagnelli Carlo,
Di Martino Maria,
Ranghetti Savina,
Martino Valter,
Falco Emilio,
Berti Stefano
Affiliations
Eretta Costantino
Department of Surgery - S. Andrea Hospital, La Spezia, Italy
Ferrarese Alessia
Department of Oncology, University of Turin, Section of General Surgery, San Luigi Gonzaga Teaching Hospital, Regione Gonzole 10,10043 Orbassano – Turin, Italy
Olcese Sonja
Department of Surgery - S. Andrea Hospital, La Spezia, Italy
Imperatore Mikaela
Department of Surgery - S. Andrea Hospital, La Spezia, Italy
Francone Elisa
Department of Surgery - S. Andrea Hospital, La Spezia, Italy
Bianchi Claudio
Department of Surgery - S. Andrea Hospital, La Spezia, Italy
Bruno Maria Santina
Department of Surgery - S. Andrea Hospital, La Spezia, Italy
Sagnelli Carlo
Department of Surgery - S. Andrea Hospital, La Spezia, Italy
Di Martino Maria
Department of Surgery - S. Andrea Hospital, La Spezia, Italy
Ranghetti Savina
Department of Radiology, S. Andrea Hospital, La Spezia, Italy
Martino Valter
Department of Surgery, S. Luigi Gonzaga, Orbassano, Torino, Italy
Falco Emilio
Department of Surgery - S. Andrea Hospital, La Spezia, Italy
Berti Stefano
Department of Surgery - S. Andrea Hospital, La Spezia, Italy
Celiac Axis Compression Syndrome by the Median Arcuate Ligament is a very rare condition characterized by chronic postprandial abdominal pain (angina abdominis), nausea, vomiting, which occurs mostly in young patients. The main treatment is a surgical procedure that consists of the division of the arcuate ligament combined with the section of the close diaphragmatic crus and the excision of the celiac plexus. Actually laparoscopic management is feasible and safe.
