Digestive Diseases and Sciences

, Volume 52, Issue 1, pp 302–305

Dunbar’s Syndrome and Superior Mesenteric Artery’s Syndrome: A Rare Association

  • Mario Sianesi
  • Paolo Soliani
  • Maria Francesca Arcuri
  • Lamia Bezer
  • Gioacchino Iapichino
  • Paolo Del Rio
Original Article

DOI: 10.1007/s10620-006-9438-0

Cite this article as:
Sianesi, M., Soliani, P., Arcuri, M.F. et al. Dig Dis Sci (2007) 52: 302. doi:10.1007/s10620-006-9438-0

Abstract

Celiac artery compression syndrome (CACS) and superior mesenteric artery syndrome (SMAS) are 2 rare diseases, widely described in literature. Their association has not been specifically investigated; in fact, few cases have been reported. For this reason we reviewed our experience from January 1974 to June 2004. We report 59 patients affected by CACS and 28 by SMAS. Coexistence of both syndromes in 8 patients was observed. These 8 patients were successfully treated with duodenojejunal bypass and decompression of the celiac trunk. In this paper, we analyze the pathogenesis, clinical presentation, diagnosis, and treatment of these syndromes, emphasizing their common aspects. The misdiagnosis of this association may justify in some cases the controversial results reported regarding the surgical treatment of these syndrome.

Keywords

Celiac artery compression syndromeAngina abdominisSuperior mesenteric artery syndromeDuodenal obstruction

Copyright information

© Springer Science+Business Media, Inc. 2006

Authors and Affiliations

  • Mario Sianesi
    • 1
  • Paolo Soliani
    • 1
  • Maria Francesca Arcuri
    • 1
  • Lamia Bezer
    • 1
  • Gioacchino Iapichino
    • 1
  • Paolo Del Rio
    • 1
    • 2
  1. 1.Istituto di Clinica Chirurgica Generale e dei Trapianti d’Organo Università di ParmaParmaItaly
  2. 2.Department of Surgical ScienceUniversity of ParmaParmaItaly