| Celiac artery compression syndrome in children, adolescents, and young adults: clinical and color duplex sonographic features in a series of 59 cases. | |
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MedLine Citation:
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PMID: 16495489 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: Abdominal pain is one of the most common conditions in childhood and adolescence. Celiac artery compression syndrome (CACS) is rarely suspected in this population. We present clinical and sonographic features from a series of 59 patients with this disorder. METHODS: A total of 3449 patients from 0 to 18 years were investigated with 7639 abdominal color duplex sonographic examinations. Celiac artery flow velocity was measured at the branching off from the aorta in inspiration, expiration, and in between. Diagnosis of CACS was made if a greater than 2-fold acceleration of peak systolic flow in the celiac artery compared to the abdominal aorta or a peak systolic velocity greater than 200 cm/s was measured in the mid position and if a variation of flow velocity occurred during respiration. In 22 cases, angiography (21 magnetic resonance angiography and 1 digital subtraction angiography) was used to prove sonographic diagnosis. RESULTS: Fifty-nine patients (among them 81% female) from 22 months to 19 years (clustering between 14 and 17 years) fulfilling color Doppler sonographic criteria of CACS were found, for a prevalence of 1.7%. Their symptoms included, among others, abdominal pain (71%), nausea (29%), thoracic pain (22%), heartburn (17%), weight loss (15%), vomiting (15%), systolic murmur (15%), postprandial accentuation of symptoms (15%), diarrhea (14%), respiratory discomfort (14%), and syncope (12%). CONCLUSIONS: Celiac artery compression syndrome is more prevalent than expected, and conditions not usually connected to the disease were found. Alertness to CACS is recommended, especially in patients with a combination of characteristic symptoms. Color Doppler sonography is the modality of choice for diagnosing CACS. |
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Authors:
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Thomas Scholbach |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine Volume: 25 ISSN: 0278-4297 ISO Abbreviation: J Ultrasound Med Publication Date: 2006 Mar |
Date Detail:
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Created Date: 2006-02-23 Completed Date: 2006-08-03 Revised Date: 2006-12-07 |
Medline Journal Info:
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Nlm Unique ID: 8211547 Medline TA: J Ultrasound Med Country: United States |
Other Details:
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Languages: eng Pagination: 299-305 Citation Subset: IM |
Affiliation:
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Municipal Children's Hospital St Georg, Leipzig, Germany. thomas.scholbach@sanktgeorg.de |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Abdominal Pain
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etiology Adolescent Adult Blood Flow Velocity / physiology Celiac Artery / physiopathology, radiography, ultrasonography* Child Child, Preschool Constriction, Pathologic / diagnosis, epidemiology, physiopathology Diagnosis, Differential Female Humans Infant Male Prevalence Syndrome Ultrasonography, Doppler, Color / methods* Vascular Diseases / diagnosis*, epidemiology, physiopathology |
| Comments/Corrections | |
Comment In:
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J Ultrasound Med. 2006 Aug;25(8):1108; author reply 1108-9
[PMID:
16870909
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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