Retroperitoneal Hematoma: Rupture of Aneurysm in the Arc of Buhler Caused by Median Arcuate Ligament Syndrome

被引：5
作者：
Abe, Keiichiro [1 ]
Iijima, Makoto [1 ]
Tominaga, Keiichi [1 ]
Masuyama, Satoshi [1 ]
Izawa, Naoya [1 ]
Majima, Yuichi [1 ]
Irisawa, Atsushi [1 ]
机构：
[1] Dokkyo Med Univ, Dept Gastroenterol, Mibu, Tochigi 3210293, Japan
来源：
CLINICAL MEDICINE INSIGHTS-CASE REPORTS | 2019年 / 12卷
关键词：
Aneurysm; Arc of Buhler; Median arcuate ligament syndrome; PANCREATICODUODENAL ARTERY ANEURYSMS; ASSOCIATION; MANAGEMENT;
D O I：
10.1177/1179547619828716
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
We herein report a case with aneurysm rupture in the arc of Buhler (AOB) caused by median arcuate ligament syndrome (MALS). The patient experienced a sudden onset of upper abdominal pain. Contrast-enhanced abdominal computed tomography (CT) showed an iso- to hyper-enhancing area mainly ranging from the dorsal aspect of the pancreatic head to the retroperitoneum around the right kidney. Abdominal angiography revealed marked stenosis in the origin of the celiac artery caused by MALS and a 7-mm saccular aneurysm in the AOB. Thus, we diagnosed the pain as having been caused by aneurysm rupture in the AOB due to MALS. The patient's symptoms and anemia also improved to normal range without surgery. Careful follow-up, considering possible recurrence of aneurysm at other sites in the future, is essential.
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页数：2
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