AI Article Synopsis

  • Dunbar syndrome is diagnosed by ruling out other causes of abdominal pain and is treated by surgically removing the ligament and surrounding nerve ganglion.
  • A 45-year-old male experienced back-radiating abdominal pain and weakness, requiring a CT scan that revealed issues with the celiac trunk and mesenteric artery.
  • After unsuccessful initial surgery and further testing, a thickened arcuate ligament was discovered, leading to a successful laparoscopic procedure to relieve pressure on the celiac trunk.

Article Abstract

Dunbar syndrome is diagnosed by excluding other possible causes of abdominal pains. Surgical treatment comprises complete dissection of the ligament and the surrounding nerve ganglion. This report describes the case of a previously healthy 45-year-old male patient who presented with epigastric abdominal pain irradiating to the back and weakness. Initially, abdominal computed tomography was ordered, showing arteriopathy of the celiac trunk and mesenteric artery with stenosis. The patient underwent surgical treatment because of the refractory pain, but findings were nonspecific. It was necessary to continue workup with serial angiotomography to follow the case. After around 6 months, thickening of the arcuate ligament was found, with compression of the proximal third of the celiac trunk and 80% stenosis. The patient therefore underwent laparoscopy to relieve celiac trunk compression, with satisfactory postoperative recovery.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10421585PMC
http://dx.doi.org/10.1590/1677-5449.202300301DOI Listing

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