Compression of the left renal artery and celiac trunk by diaphragmatic crura.
Symptomatic compression of the celiac trunk by crura of the diaphragm is a rare disorder. Even more infrequent external compression of renal arteries is found. Although the indication for surgical therapy is controversially discussed in the literature for celiac artery compression syndrome, it is unequivocally for renal artery entrapment. We present the case of a young woman who was assigned to our hospital with arterial hypertension and stenosis of the left renal artery. After percutaneous transluminal angioplasty was performed, immediate recoil occurred. Therefore, the suspicion of entrapment by diaphragmatic crura was expressed. Additionally performed diagnostic procedures including computed tomography (CT)-angiography verified our suspicion. Surgical decompression of both vessels was successfully performed.
Gaebel
Gabor
G
Department of Visceral, Thoracic, and Vascular Surgery, University Hospital Carl-Gustav-Carus Dresden, Dresden, Germany. gabor.gaebel@uniklinikum-dresden.de
Hinterseher
Irene
I
Saeger
Hans Detlev
HD
Bergert
Hendrik
H
D000800:Angioplasty, Balloon / Q000379:methods; D001157:Arterial Occlusive Diseases / Q000175:diagnosis / Q000209:etiology / Q000628:therapy; D002447:Celiac Plexus / Q000000981:diagnostic imaging / Q000473:pathology*; D003251:Constriction, Pathologic; D003964:Diaphragm / Q000002:abnormalities*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D006977:Hypertension, Renal / Q000175:diagnosis; D011859:Radiography; D012078:Renal Artery Obstruction / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy*; D018570:Risk Assessment; D012720:Severity of Illness Index; D016896:Treatment Outcome; D014654:Vascular Patency; D055815:Young Adult