scholarly journals Median arcuate ligament syndrome: A case report of a rare disease

Author(s):  
Joana Isabel Almeida ◽  
Margarida Nunes Coelho ◽  
Isabel Armas ◽  
Carlos Soares ◽  
Tatiana Santos ◽  
...  
2020 ◽  
Vol 2020 (5) ◽  
Author(s):  
Roberto Bustos ◽  
Michail Papamichail ◽  
Alberto Mangano ◽  
Valentina Valle ◽  
Pier Cristoforo Giulianotti

Abstract The Median Arcuate Ligament (MAL) syndrome is the symptomatic compression of the celiac trunk by the MAL and other ganglionic periaortic tissue. Despite its rarity, this condition is significant from a clinical, diagnostic and management standpoint and it is usually a diagnosis of exclusion. A 61-year-old female with history of intermittent postprandial epigastric pain was diagnosed with MAL syndrome during CT scan imaging (no other causes of pain were identified). Patient successfully underwent robotic MAL release with symptoms improvement after surgery. The robotic approach is feasible and may allow a very precise and delicate dissection with release of the MAL.


2018 ◽  
Vol 50 (4) ◽  
pp. e410
Author(s):  
M.T. Illiceto ◽  
G. Lisi ◽  
M. Filippone ◽  
N. Marino ◽  
M. Di Pietro ◽  
...  

2020 ◽  
Vol 7 (6) ◽  
pp. 2016
Author(s):  
Preethi Subramanian ◽  
Rajan Vaithianathan

Median arcuate ligament syndrome is an uncommon cause for abdominal pain and weight loss, caused by median arcuate ligament compressing the celiac plexus or artery. Median arcuate ligament is the continuation of the posterior diaphragm which passes superior to celiac artery and surrounds the aorta. In this case report, A 67 year old male presented with complaints of sudden onset chest pain and loss of weight for the past 6 months. CECT thorax and abdomen it showed features of focal stenosis of coeliac axis and post stenotic dilation of the coeliac trunk suggesting median arcuate ligament syndrome. Laparoscopic median arcuate ligament release was done to relieve the patient from symptoms. Diagnosis of median arcuate ligament syndrome should be considered in a patient presenting with chest pain and weight loss with normal cardiac status and unexplained etiology.


2018 ◽  
Vol 21 (2) ◽  
pp. 38-39
Author(s):  
Akash Chitrakar ◽  
Nirajan Subedi ◽  
Ramesh Singh Bhandari

Median arcuate ligament (MAL) syndrome results from extrinsic compression of the celiac axis and or celiac ganglion by the MAL and diaphragmatic crura. A seventy five years lady presented with post prandial epigastric pain for 6 months. She had undergone considerable investigations for other diagnoses before an abdominal computed tomography (CT) revealed median arcuate ligament impinging celiac artery at its origin. She successfully underwent laparotomy and release of median arcuate ligament.  


JAMA Surgery ◽  
2016 ◽  
Vol 151 (5) ◽  
pp. 471 ◽  
Author(s):  
Erinn N. Kim ◽  
Kathleen Lamb ◽  
Daniel Relles ◽  
Neil Moudgill ◽  
Paul J. DiMuzio ◽  
...  

2020 ◽  
Vol 63 ◽  
pp. 457.e7-457.e11 ◽  
Author(s):  
Luca Garriboli ◽  
Tommaso Miccoli ◽  
Isacco Damoli ◽  
Roberto Rossini ◽  
Carlo Alberto Sartori ◽  
...  

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