HomeSocioculturalMedicalLigament syndrome caused a man to have abdominal pain for 4 months

Ligament syndrome caused a man to have abdominal pain for 4 months


HCM CityMr. Trung, 70 years old, had dull pain in the area above the navel and the left side of the abdomen for 4 months. The doctor discovered that he had a rare medial ligament syndrome.

Before that, Mr. Trung thought he had a stomach ache and took medicine to relieve the symptoms so he did not go to the doctor. Later, his pain got worse. Tests and scans did not detect the disease, so he went to Tam Anh General Hospital in Ho Chi Minh City for a check-up.

On January 31, Dr. Nguyen Anh Dung, Head of the Department of Cardiovascular and Thoracic Surgery, Cardiovascular Center, said that abdominal pain above the navel is often a manifestation of digestive disease (stomach, liver, gallbladder, pancreas). But paraclinical and imaging diagnoses did not show that Mr. Trung had damage to these areas. The doctor performed an abdominal CT scan with contrast and discovered 1% narrowing of the origin of the celiac artery - a large arterial branch that supplies blood to the liver, spleen, stomach, esophagus, pancreas, and duodenum.

Arterial stenosis is often caused by narrowing atherosclerosis from within the lumen, external compression, trauma, accident or other medical intervention. However, Mr. Trung has no atherosclerosis, no trauma or intervention. The doctor diagnosed him with middle arch ligament syndrome (also known as celiac artery compression syndrome) causing compression of the celiac artery and celiac sympathetic ganglia. This is the cause of his stomach pain, according to Dr. Dung.

Dr. Tran Quoc Hoai, Department of Cardiovascular and Thoracic Surgery, Cardiovascular Center, explained that the chest and abdomen are separated by the diaphragm. The aorta goes from the chest through the diaphragm to the abdomen. It has many branches to supply blood to the organs. In normal people, the ligament is located high, the aorta passes through the ligament, down to the abdomen and branches into the celiac artery. When suffering from medial arch ligament syndrome, the celiac artery is tightly bound by the ligament, and over time the stenosis gradually bulges (due to increased blood flow velocity behind the stenosis, creating pressure on the vessel wall).

Mr. Trung has a bulge behind the stenosis measuring 7 mm. Without early intervention, the aneurysm is at risk of progressing, threatening the patient's life.

The doctor performs laparoscopic surgery by opening an incision above the navel and inserting the scope into the patient's diaphragm. With the support of the endoscopic camera, the team cuts the medial arch ligament bundle to create an opportunity for the celiac artery to expand. After two hours, the surgery ended and the size of the celiac artery returned to normal.





Doctor Dung (right) and his surgical team cut the ligament that tightens the celiac artery for the patient. Photo: Tam Anh Hospital

Doctor Dung (right) and his surgical team cut the ligament that tightens the celiac artery for the patient. Image: Tam Anh Hospital

Common signs of medial ligament syndrome include abdominal pain (especially after eating or exercising), nausea, vomiting, diarrhea, bloating, and unexplained weight loss. Anyone can get this syndrome. Symptoms are vague so it is difficult to diagnose.

According to Dr. Dung, surgery to release the medial ligament is the only treatment for this syndrome. Patients whose symptoms improve immediately after surgery need to be re-examined periodically to monitor the process of restoring blood flow through the celiac artery.

Thu Ha

* Character names in the post have been changed

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