DUNBAR SYNDROME – A LITERATURE REVIEW

Authors

  • Dr. Kristina Peeva Heart and Brain Hospital - Pleven
  • Prof. Iana Simova, MD, PhD Heart and Brain Hospital - Pleven, Bulgarian Cardiac Institute - Sofia
  • Prof. Toni Vekov, PhD, DSc Bulgarian Cardiac Institute - Sofia

Keywords:

Dunbar syndrome, median arcuate ligament syndrome, MALS, celiac trunk, recurrent abdominal pain

Abstract

Dunbar syndrome, characterized by compression of the celiac trunk by the median arcuate ligament, is a rare condition, part of the vast differential diagnosis of recurrent abdominal pain. As a result of this compression patients usually present with non-specific symptoms, namely postprandial abdominal pain, nausea and vomiting, weight loss, and, in some cases, retrosternal pain. Part of the cases are asymptomatic, and the disease is discovered as an additional finding from imaging studies which are conducted for other purposes (CT, MRI). Surgical treatment is the definitive solution and is connected with decompression of the artery via open or minimally invasive technique. In certain cases, angioplasty and stenting are performed. This article aims to remind us about the necessity to think beyond the most common diagnoses and focuses on the diagnostic methods and treatment principles.

Published

2025-09-24

Issue

Section

Articles