Neurovegetative disorders in the symptom complex of сeliac axis compression syndrome

Abstract

The given clinical observation and monitoring of successful treatment of celiac axis compression syndrome with prevailing neurovegatative symptoms. Determined that celiac axis compression syndrome is characterized by polymorphism. In the absence of timely and adequate treatment, neurovegetative disorders may become leading in the clinical picture of the disease. In this regard, these patients are often suspected of hypochondria, which in turn greatly complicates the timely diagnosis of this pathology. The most reliable objective symptom of the celiac axis compression syndrome, allowing to suspect the disease, is systolic murmur, heard in the projection of the celiac trunk. The use of modern non-invasive medical imaging methods (computed tomographic angiography and color duplex scanning) and radiopaque aortography allowed us to establish the etiology of the vascular pathology of the celiac trunk and verify the somatic genesis of neurovegetative symptoms, eliminating hypochondriacal disorder. Surgical treatment, in our case surgical decompression of the celiac trunk, showed high efficiency and reliability. A complete regression of symptoms was noted 4 months after surgery. Positive immediate and long-term results of surgical treatment are confirmed by non-invasive instrumental methods.

Keywords

сeliac axis compression syndrome / median arcuate ligament syndrome / Dunbar syndrome / angina abdominalis / chronic abdominal ischemia / chronic visceral ischemia / neurovegetative disorders / hypochondria / hypochondria disorder

References

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RIGHTS & PERMISSIONS

Patsenko M.B., Mitroshin G.E.,Petko A.P., Mironenko D.A., Sharapova N.A., Khudziev B.G.