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Laparoscopic treatment of symptomatic Dunbar syndrome: a case report
William Sergi1, Norma Depalma1, Stefano D'Ugo1
1Department of General Surgery, S.C. General and Emergency Surgery, "Vito Fazzi" Hospital, Lecce, Italy.
Introduction And Aim Of The Study:
Dunbar syndrome is a rare disorder due to the external compression of the celiac trunk by the median arcuate ligament. The symptoms include abdominal pain, nausea and vomiting with a significative reduction in patients' quality of life. Laparoscopy has proven to be a safe procedure. The aim of this study is to present a case of Dunbar syndrome undergoing laparoscopic surgery.
Case Presentation:
A 40-year-old male patient presented at Emergency Room with upper abdominal pain and dyspepsia, related to food intake. A selective arteriography of the celiac trunk revealed stenosis due to compression of the celiac artery.
Clinical Discussion:
Laparoscopic decompression of the celiac trunk by the median arcuate ligament was performed. Postoperative course was uneventful and the patient was discharged on the 5th postoperative day.
Conclusion:
Minimally invasive surgical division of the arcuate ligament is feasible and safe and it can restore patients' quality of life.
