I vomited for half a year and lost 30 pounds for half a year.
Author:Cover news Time:2022.09.08
Cover news reporter Qiu Tian
The weight loss is a happy thing for many young women. However, for Ms. Xia, 34, she couldn't be happy at all -for half a year, she was nauseous and vomited after eating, and I lost 30 pounds, but did not find the reason.
The "trap" of the blood vessel falls into the ligament
After eating, nausea, vomiting, and abdominal pain and abdominal distension. Because of these problems, Ms. Xia went to many hospitals in Guangdong and Sichuan. The examination of gastrointestinal colds was basically done, but no abnormalities were found. After the treatment of drugs, the symptoms of discomfort have not been improved, and there are still more serious trends.
After half a year tossing, the weight was reduced by 30 pounds, and the mental state became worse and worse. Recently, Ms. Xia, who was really uncomfortable, came to the Department of Surgery and Gastrointestinal Micro Capital of the Third People's Hospital of Chengdu, hoping to find the cause of the disease.
"The problem is not on the gastrointestinal and intestines. It may be a relatively rare disease." In the combination of Ms. Xia's condition, Dr. Wu Yingxin had a new consideration of the cause -the middle bow -shaped ligament syndrome. After completing the abdominal angiography, the speculation of the disease was fully confirmed.
What is the middle bow ligament syndrome? Wu Yingxin said that this disease has also become an abdominal arterial compression syndrome. In short, the abdominal cavity is "abducted" by the bow of the abdominal cavity. "This ligament is like a rubber band. It's. "And the abdominal stem artery is the main blood vessels of the upper abdomen digestive organ of the human liver, stomach, duodenum, and pancreas. When it receives compression, it will cause blood supply to reduce blood supply, which will cause corresponding digestive organ symptoms, such as such as the symptoms of digestive organs, such as for example Nausea, vomiting, abdominal pain, etc.
Comprehensive treatment completes the "rescue action"
After finding the "culprit" of the disease, the team of General Surgery · Gastrointestinal Micro Invasive Center began a systematic treatment of Ms. Xia. The first step is to formulate an individualized nutritional support scheme to improve the nutritional state of patients by adjusting. A week's scientific conditioning has gradually returned to the normal level of Ms. Xia's relevant indicators, and the state has been greatly improved.
The second step is to relieve the restraint of the abdominal arteries through surgery -through laparoscopy, to perform a minimally invasive manner. Wu Yingxin said that it was the archer ligament that was pressed against the surface of the abdominal arteries through surgery, and loosen the scar tissue around the surrounding, and then achieved the overall "loosening". The principle of surgery sounds simple, but the operation is still difficult. First of all, the surgical site is in the depths of the abdominal cavity and the operation space is small; second, the operation point is on the surface of the large arteries. Bleeding risk.
After careful and patient operation, Wu Yingxin and the team finally successfully completed the "rescue action" of abdominal arteries. On the first day after surgery, Ms. Xia can already eat, and she is currently returning well. After eating, she has no abdominal pain, nausea and vomiting.
【Popular Science Reading】
The middle bow ligament syndrome is more rare in clinical practice, and it is currently not clear about its pathogenesis. Most of them in 20-40-year-old thin women. The main symptoms are abdominal pain, sorrow, vomiting, decreased weight, etc.
Because symptoms are similar to other digestive tract diseases, diagnosis difficulties and delays are often prone to. If abdominal pain occurs after meals or after exercise, patients with nausea, vomiting, and weight loss, especially after various examinations and other common abdominal pain, need to consider the possibility of this disease.
For the treatment of this disease, the current effective means are surgical pressure reduction, including open surgery, minimally invasive laparoscopy, and robot auxiliary minimally invasive, etc., and the treatment plan needs to be comprehensively considered according to the specific circumstances of the patient.
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