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J Korean Soc Emerg Med > Volume 16(1); 2005 > Article
Journal of The Korean Society of Emergency Medicine 2005;16(1): 207-209.
Dunbar's syndrome (Celiac Artery Compression Syndrome): A Case Report
Jun Young Rho, Sung Chan Oh, Sang Lae Lee, Suk Jin Cho, Seok Yong Ryu, Hong Yong Kim
Department of Emergency Medicine, Sanggye Paik Hospital, College of Medicine, Inje University, Seoul, Korea. ryuchoi64@sanggyepaik.ac.kr
Celiac artery compression syndrome is a rare disorder and characterized by postprandial intestinal angina caused by insufficient blood supply to the gastrointestinal organs in symptomatic patients. Celiac artery compression syndrome occurs when the median arcuate ligament of the diaphragm causes extrinsic compression of the celiac trunk. It is characterized by the clinical triad, epigastric pain, weight loss and postprandial emesis. The pathophysiologic origin of these symptoms is not clearly understood. Theories involving either a neurogenic or vascular origin for the clinical features associated with celiac artery compression syndrome have been proposed, but objective evidence to support these theories is lacking. We report a case of a 35-year-old man who presented with a two-week history of postprandial abdominal pain, nausea, some emesis, and weight loss.
Key words: Celiac artery, Compression syndrome
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