Chronic Non-specific Upper Abdominal Pain of Median Arcuate Ligament Syndrome: Laparoscopic Treatment

2020 ◽  
Author(s):  
Sameer A. Rege ◽  
Amiteshwar Singh ◽  
Abhay N. Dalvi
Keyword(s):  
Abdominal Pain ◽  
Laparoscopic Treatment ◽  
Median Arcuate Ligament ◽  
Median Arcuate Ligament Syndrome ◽  
Arcuate Ligament ◽  
Upper Abdominal

scholarly journals Median Arcuate Ligament Syndrome Clinical Presentation, Pathophysiology, and Management: Description of Four Cases

2021 ◽  
Vol 3 (1) ◽  
pp. 44-50
Author(s):  
Ihsan Al Bayati ◽  
Mahesh Gajendran ◽  
Brian R. Davis ◽  
Jesus R. Diaz ◽  
Richard W. McCallum
Keyword(s):  
Abdominal Pain ◽  
Celiac Artery ◽  
Definitive Treatment ◽  
Unknown Etiology ◽  
Symptom Presentation ◽  
Median Arcuate Ligament ◽  
Median Arcuate Ligament Syndrome ◽  
Long Term Follow Up ◽  
Arcuate Ligament ◽  
Upper Abdominal

Median arcuate ligament syndrome (MALS), otherwise called celiac artery compression syndrome (CACS), is an uncommon disorder that results from an anatomical compression of the celiac axis and/or celiac ganglion by the MAL. Patients typically present with abdominal pain of unknown etiology exacerbated by eating along with nausea, vomiting, and weight loss. MALS is a diagnosis of exclusion that should be considered in patients with severe upper abdominal pain, which does not correlate with the objective findings. The cardinal feature which is elicited in the diagnosis of MALS relies on imaging studies of the celiac artery, demonstrating narrowing during expiration. The definitive treatment is the median arcuate ligament’s surgical release to achieve surgical decompression of the celiac plexus by division of the MAL. This article describes our experience with this entity, focusing on symptom presentation, diagnostic challenges, and management, including long-term follow-up in four cases.

scholarly journals Laparoscopic treatment of median arcuate ligament syndrome in a 16-year-old male

2018 ◽  
Vol 52 ◽  
pp. 79-83 ◽  
Author(s):  
Yoshinori Fujiwara ◽  
Masaharu Higashida ◽  
Hisako Kubota ◽  
Yusakua Watanabe ◽  
Michi Ueno ◽  
...  
Keyword(s):  
Laparoscopic Treatment ◽  
Median Arcuate Ligament ◽  
Median Arcuate Ligament Syndrome ◽  
Arcuate Ligament

scholarly journals Laparoscopic treatment of median arcuate ligament syndrome

2019 ◽  
Vol 8 (2) ◽  
pp. 108-112 ◽  
Author(s):  
Zhipeng Sun ◽  
Dongdong Zhang ◽  
Guangzhong Xu ◽  
Nengwei Zhang
Keyword(s):  
Laparoscopic Treatment ◽  
Median Arcuate Ligament ◽  
Median Arcuate Ligament Syndrome ◽  
Arcuate Ligament

2762 Median Arcuate Ligament Syndrome: A Rare but Overlooked Cause of Post-Prandial Abdominal Pain

2019 ◽  
Vol 114 (1) ◽  
pp. S1526-S1527
Author(s):  
Hussam Tayel ◽  
Hesham Tayel ◽  
Sagar V. Mehta ◽  
Rodrigo Duarte-Chavez ◽  
Brian Kim ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Median Arcuate Ligament ◽  
Median Arcuate Ligament Syndrome ◽  
Arcuate Ligament

scholarly journals Treatment of median arcuate ligament syndrome: outcome of laparoscopic approach

2020 ◽  
Vol 33 (1) ◽  
Author(s):  
Julio Cezar Uili COELHO ◽  
Andréa Virmond El HOSNI ◽  
Christiano MarloPaggi CLAUS ◽  
Yan Sacha Hass AGUILERA ◽  
Gisele Pitrowsk ABOT ◽  
...  
Keyword(s):  
Weight Loss ◽  
Epigastric Pain ◽  
Clinical Manifestations ◽  
Laparoscopic Approach ◽  
Rare Condition ◽  
Laparoscopic Treatment ◽  
Median Arcuate Ligament ◽  
Median Arcuate Ligament Syndrome ◽  
Arcuate Ligament ◽  
Operative Findings

ABSTRACT Background: Median arcuate ligament syndrome(MALS) is a rare condition thatmay cause significant clinical manifestations, including abdominal pain and weight loss. Its diagnosis may be difficult and very often delayed. The laparoscopic approach became the standard treatment of MALS. Aim: To assess the outcome of laparoscopic treatment in patients with MALS. Method: The data of sixpatients with MALS who were subjected to laparoscopic sectioning of the median arcuate ligament were retrospectively reviewed.The following data were evaluated: age, gender, clinical and diagnostic tests findings, ASA score, operative findings and complications, postoperative complications and mortality, hospital stay duration, and hospital readmission.The diagnosis of MALS was established by CT angiography and/or MR angiography. Results: There were four (66.7%) women and two (33.3%) men aged from 32 to 60 years. The main symptoms were epigastric pain (100%) and weight loss (66.7%). The findings of high-grade stenosis of the proximal celiac axis and poststenotic dilation confirmed on angiography confirmed the diagnosis in all patients. Surgical procedure was uneventful in all patients. The only postoperative complication was urinary retention that occurred in a male. At three-month follow-up, all patients were asymptomatic. Conclusion: Laparoscopic treatment of MALS is safe and effective in relieving the clinical manifestations of patients.

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