Abdominal aortic trunk compression syndrome as a cause of abdominal pain in children
https://doi.org/10.31146/1682-8658-ecg-224-4-115-118
Abstract
The article presents a clinical case of a 17-year-old boy with diagnosed abdominal aortic trunk compression syndrome (Dunbar syndrome), clinically manifested by complaints of prolonged pain in the epigastrium and suprapubic region, periodic dilution of stool, frequent urge to defecate. Ultrasound of mesenteric vessels and CT of abdominal organs with double contrast allowed to establish pathological changes, which revealed echoscopic signs of stenosis of the proximal segment of the abdominal artery, stenosis of the ventral trunk mouth up to 60-70% thickened right leg of the diaphragm. The complexity of this clinical case lies in the fact that this pathology is a rare diagnosis of exclusion, the formulation of which required a wide range of differential diagnosis.
About the Authors
K. N. Ilyina
Privolzhsky Research Medical University of the Ministry of Health of Russia
Russian Federation
Russian Federation
E. N. Fedulova
Privolzhsky Research Medical University of the Ministry of Health of Russia
Russian Federation
Russian Federation
V. A. Tsarev
Privolzhsky Research Medical University of the Ministry of Health of Russia
Russian Federation
Russian Federation
A. I. Khavkin
Research Clinical Institute of Childhood, Ministry of Health of the Moscow Region; Belgorod State National Research University Ministry of Science and Higher Education of the Russian Federation
Russian Federation
Russian Federation
References
1. Andreev A.V., Krasnov M. V., Nikitina L. P.Compression stenosis of the abdominal trunk in pediatrician’s practice. Practical medicine. 2022;20(3):111-116. (in Russ.) doi: 10.32000/2072-1757-2022-3-111-116.@@ Андреев А. В., Краснов М. В., Никитина Л. П. Компрессионный стеноз чревного ствола в практике педиатра. Практическая медицина. 2022;20(3):111-116. doi: 10.32000/2072-1757-2022-3-111-116.
2. Santos G.M., Viarengo L. M., Oliveira M. D. Celiac artery compression: Dunbar syndrome. J Vasc Bras. 2019 18:0. doi: 10.1590/1677-5449.009418.
3. Gander S., Mulder D. J., Jones S., Ricketts J. D., Soboleski D. A., Justinich C. J. Recurrent abdominal pain and weight loss in an adolescent: celiac artery compression syndrome. Can J Gastroenterol. 2010;24(2):91-3. doi: 10.1155/2010/534654.
4. Bobadilla J. L. Mesenteric ischemia. Surg Clin North Am. 2013;93(4):925-40, doi: 10.1016/j.suc.2013.04.002.
5. Kokotsakis J. N., Lambidis C. D., Lioulias A. G., Skouteli E. T., Bastounis E. A., Livesay J. J. Celiac artery compression syndrome. Cardiovasc Surg. 2000 Apr;8(3):219-22. doi: 10.1016/s0967-2109(00)00012-0.
6. Scholbach T. Celiac artery compression syndrome in children, adolescents, and young adults: clinical and color duplex sonographic features in a series of 59 cases. J Ultrasound Med. 2006 Mar;25(3):299-305. doi: 10.7863/jum.2006.25.3.299.
7. Zainulabidov R.A., Razumovsky A. Yu., Khavkin A. I., Mitupov Z. B., Chumakova G. Yu. Erosive and ulcerative lesions of the mucous membrane of the gastroduodenal zone in compression stenosis of the abdominal trunk in adolescents. Experimental and clinical gastroenterology. 2022;202(6): 131-138. (in Russ.) doi: 10.31146/1682-8658-ed-202-6-131-138.@@ Зайнулабидов Р. А., Разумовский А. Ю., Хавкин А. И., Митупов З. Б., Чумакова Г. Ю. Эрозивно-язвенные поражения слизистой гастродуоденальной зоны при компрессионном стенозе чревного ствола у подростков. Экспериментальная и клиническая гастроэнтерология. 2022;202(6): 131-138. doi: 10.31146/1682-8658-есд-202-6-131-138.
8. Goodall R., Langridge B., Onida S., Ellis M., Lane T., Davies A. H. Median arcuate ligament syndrome. J Vasc Surg. 2020 Jun;71(6):2170-2176. doi: 10.1016/j.jvs.2019.11.012.
9. Kuruvilla A., Murtaza G., Cheema A., Arshad H. M. Median arcuate ligament syndrome: it is not always gastritis. J Investig Med High Impact Case Rep. 2017;5:2324709617728750. doi: 10.1177/ 2324709617728750.
Review
For citations:
Ilyina K.N., Fedulova E.N., Tsarev V.A., Khavkin A.I. Abdominal aortic trunk compression syndrome as a cause of abdominal pain in children. Experimental and Clinical Gastroenterology. 2024;(4):115-118. (In Russ.) https://doi.org/10.31146/1682-8658-ecg-224-4-115-118
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