Celiac artery compression syndrome in children

Andrey V. Andreev; Mikhail V. Krasnov; Larisa P. Nikitina; Nikolay E. Ivanov

doi:10.53730/ijhs.v6nS8.12894

Authors

Andrey V. Andreev Assistant of the Department of "Children's Diseases" of the I.N. Ulyanov Chuvash State University, Head of the X-ray Department, radiologist of the Republican Children's Clinical Hospital of the Ministry of Health of Chuvashia, Cheboksary
Mikhail V. Krasnov MD, Professor, Head of the Department of "Children's Diseases" of the I.N. Ulyanov Chuvash State University, Cheboksary
Larisa P. Nikitina Radiologist of the Republican Children's Clinical Hospital of the Ministry of Health of Chuvashia, Cheboksary
Nikolay E. Ivanov Head of the X-ray department, Radiotherapist, Budget-Funded Entity Republican Children’s Clinical Hospital of the Ministry of Health of Chuvashia, Russia, Cheboksary

Keywords:

celiac artery compression syndrome, Dunbar syndrome, celiac trunk, stenosis, children

Abstract

The manifestation of celiac artery compression syndrome in childhood is rarely described. At the same time, celiac artery compression syndrome remains one of the most discussed vascular diseases due to an unclear pathophysiological mechanism, difficulties in differential diagnosis, and the lack of a generally accepted algorithm for treating patients. In connection with the above, it seems relevant to analyze the features of managing children with celiac artery compression syndrome. As a result of the analysis of the scientific literature, we have come to the following conclusions: 1. Typical clinical characteristics of celiac artery compression syndrome include abdominal pain, epigastric murmur and weight loss associated with compression of the celiac artery and possibly celiac ganglia by the median arcuate ligament. 2. CT angiography and conventional catheter angiography are the gold standard for diagnosis. However, imaging findings should not be interpreted in isolation from clinical manifestations. 3. Surgical decompression of the celiac artery by resection of the median arcuate ligament is the treatment of choice for this syndrome. Both open surgery and laparoscopic techniques are safely performed with minimal morbidity and mortality. Endovascular treatment of compression celiac stenosis may have limited success.

Downloads

Download data is not yet available.

References

Aldahhas R. A. et al. (2021). Celiac Artery Compression Syndrome: A Rare Cause of Abdominal Angina. Cureus. V. 13. No. 11.

Chantip A. (2020). Celiac Artery Compression Syndrome (CACS): A Case Report and Review of the Literature. The Thai Journal of Surgery. V. 41. No. 2. P. 46-51.

Chaum M. et al. (2021). Clinico-pathologic findings in patients with median arcuate ligament syndrome (celiac artery compression syndrome). Annals of Diagnostic Pathology. V. 52. P. 151732.

González C. P. et al. (2021). Videolaparoscopic management of arcuate ligament syndrome in pediatric patients. Cirugia pediatrica: organo oficial de la Sociedad Espanola de Cirugia Pediatrica. V. 34. No. 1. P. 47-50.

Goodall R. et al. (2020). Median arcuate ligament syndrome //Journal of Vascular Surgery. V. 71. No. 6. P. 2170-2176.

Güngörer V. et al. (2020). A Child with Celiac Artery Compression Syndrome Diagnosed on the Basis of a Careful Physical Examination. Medical Bulletin of Haseki. Haseki Tip Bulteni.V. 58. No. 3.

Roberts B., Pevsner R., Alkhoury F. (2020). Robotic approach for median arcuate ligament release in pediatrics. Journal of Laparoendoscopic & Advanced Surgical Techniques. V. 30. No. 1. P. 92-96.

Sharma S., Someshwar V., Ingale F. (2020). Laparoscopic management of celiac artery compression syndrome: a case report. International Journal of Surgery Case Reports. V. 76. P. 64-68.

Skelly C. L., Mak G. Z. (2021). Median arcuate ligament syndrome–Current state of management. Seminars in Pediatric Surgery. WB Saunders, 2021. V. 30. No. 6. P. 151129.

Zainulabidov R. A. et al. (2021). Laparoscopic dissection in case of celiac artery compression syndrome among children. Russian Bulletin of Pediatric Surgery, Anesthesiology and Resuscitation. V. 11. No. 2. P. 131-140.