Obstructive pathology of the intestinal vessels
What is it?
It is a stenosing lesion affecting the celiac tripod and mesenteric arteries. In most cases, it is determined by the presence of an atherosclerotic plaque and in a reduced percentage, it is of fibrodysplastic origin. Stenosis results in reduced intestinal perfusion, which can lead to abdominal pain, weight loss, nausea and vomiting.
Which are the symptoms?
Manifestations depend on the rate of onset (acute or chronic), extent, one-sided or two-sided, and duration of renal hypoperfusion. Renal artery stenosis is usually asymptomatic for a considerable period of time.
- Abdominal pain
How is it diagnosed?
To confidently diagnose obstructive splenic vessel disease, health care providers must first rule out other conditions that present with similar symptoms. Patient identified as a possible carrier of splenic vessel stenosis undergoes imaging examination.
How is it treated?
Treatment consists of several surgical or endovascular procedures. Release of the median arcuate ligament compressing the celiac trunk can be performed laparoscopically. In case of atherosclerotic lesions of splanchnic vessels, revascularization in the form of angioplasty or aortoceliac bypass surgery can be performed.
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