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ABDOMINAL VASCULAR COMPRESSION SYNDROMES

Abdominal vascular compression syndromes are conditions resulting from the obstruction of venous vascular structures caused by anatomical variants. These anatomical variants or compression effects are usually caused by arteries compressing veins, or even parts of the digestive tract.

They are very rare and do not usually lead to complications. In exceptional cases, they require interventional or surgical treatment.

The most common vascular compression syndromes are:

May-Thurner syndrome: Compression of the left iliac vein, which is pinched between the right iliac artery and the spine

Nutcracker syndrome: Compression of the left renal vein, which is pinched between the superior mesenteric artery and the aorta

Wilkie syndrome: Compression of the small intestine, which is pinched between the superior mesenteric artery and the aorta

Median arcuate ligament syndrome: Compression of the coeliac trunk (an artery) and the splanchnic nerves (located at the front, around the stomach) by the central part of the diaphragm

HOW DO WE TREAT THESE SYNDROMES?

There is no single treatment for all of these situations, as the most important thing with these conditions is an accurate diagnosis. Knowing the cause of the discomfort is in itself a great relief for the patient.

Sometimes the problem can be resolved by placing stents (spring-like tubes), while in other cases direct surgical repair is needed. Neurocognitive medical treatment and postural rehabilitation can be very helpful.

Real treatments

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