Arterial anomalies of the celiac trunk and median arcuate ligament compression in dogs and cats assessed by computed tomography angiography

2017 ◽  
Vol 47 (2) ◽  
pp. 252-260 ◽  
Author(s):  
Hélène M. Le Pommellet ◽  
Brian A. Scansen ◽  
Dimitria A. Mathys ◽  
Dixie F. Mollenkopf ◽  
Lauren Reeves ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Computed Tomography Angiography ◽  
Celiac Trunk ◽  
Median Arcuate Ligament ◽  
Arcuate Ligament ◽  
Arterial Anomalies

scholarly journals Median Arcuate Ligament Compression of the Celiomesenteric Trunk

2011 ◽  
Vol 1 ◽  
pp. 8 ◽  
Author(s):  
Victor Lee ◽  
Mauricio Daniel Alvarez ◽  
Shweta Bhatt ◽  
Vikram S. Dogra
Keyword(s):  
Computed Tomography ◽  
Ct Angiography ◽  
Three Dimensional ◽  
Celiac Trunk ◽  
Median Arcuate Ligament ◽  
Rare Variation ◽  
Rare Phenomenon ◽  
Intestinal Angina ◽  
Arcuate Ligament ◽  
Celiomesenteric Trunk

Median arcuate ligament (MAL) syndrome is a controversial condition characterized by compression of the celiac trunk and symptoms of intestinal angina. We present a case of MAL compressing the celiomesenteric trunk, a rare variation. We report computed tomography (CT) angiography and three-dimensional reconstructions of this rare phenomenon.

Laparoscopic treatment of rare median arcuate ligament syndrome – medium-term follow-up

2021 ◽  
Vol 93 (SUPLEMENT) ◽  
pp. 1-5
Author(s):  
Natalia Dowgiałło-Gornowicz ◽  
Weronika Grochowska ◽  
Paweł Lech ◽  
Sławomir Saluk ◽  
Maciej Michalik
Keyword(s):  
Computed Tomography ◽  
Computed Tomography Angiography ◽  
Celiac Axis ◽  
Complete Relief ◽  
Laparoscopic Treatment ◽  
Medium Term ◽  
Median Arcuate Ligament ◽  
Median Arcuate Ligament Syndrome ◽  
Arcuate Ligament

The paper "Laparoscopic treatment of the rare median arcuate ligament syndrome - mid-term follow-up" is important because the results of treatment are based not only on the subjective feelings of patients, but also on objective imaging tests, which is not observed in the previously published works on this topic. SUMMARY Introduction Median arcuate ligament syndrome [MALS] is a rare cause of chronic epigastric pain. The presentation might be unclear and non-specific. Diagnosing the syndrome requires interdisciplinary methods and specialists. Treatments consist of celiac axis release performed laparoscopically or robotically, and intraluminal stenting. The aim of the study was to report the medium-term postoperative follow-up results for four patients with MALS. Material and methods We performed 5 laparoscopic celiac axis releases in patients with MALS in our department in 2018. We included 4 patients in this study and all patients were admitted 16-23 months after the surgery for computed tomography angiography. Results Patients constituted 4 women aged 28-63 years with a mean body mass index of 22.4 kg/m2. The diagnosis of MALS was confirmed by computed tomography angiography, which showed severe (> 70%) narrowing of the celiac axis. Patients underwent laparoscopic celiac axis release, and all patients were discharged on the first postoperative day with no postoperative complications. Patients improved quality of life and complete relief of symptoms. Follow-up computed tomography angiography confirmed full decompression of the celiac axis in all four patients, with no stenosis caused by scarification of the celiac axis. Conclusions Laparoscopy is a valuable and safe method to treat patients with MALS. Keywords: Dunbar syndrome, median arcuate ligament syndrome, laparoscopy, MALS, digestive surgery

scholarly journals Prevalence of signs of celiac axis compression by the median arcuate ligament on computed tomography angiography in asymptomatic patients

2018 ◽  
Vol 68 (6) ◽  
pp. 1782-1787 ◽  
Author(s):  
Alexandre Petnys ◽  
Pedro Puech-Leão ◽  
Antonio Eduardo Zerati ◽  
Raphael Mendes Ritti-Dias ◽  
William Carlos Nahas ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Computed Tomography Angiography ◽  
Celiac Axis ◽  
Median Arcuate Ligament ◽  
Asymptomatic Patients ◽  
Axis Compression ◽  
Arcuate Ligament

scholarly journals Robotic approach to treat Median Arcuate Ligament syndrome: a case report

2020 ◽  
Vol 2020 (5) ◽  
Author(s):  
Roberto Bustos ◽  
Michail Papamichail ◽  
Alberto Mangano ◽  
Valentina Valle ◽  
Pier Cristoforo Giulianotti
Keyword(s):  
Case Report ◽  
Ct Scan ◽  
Epigastric Pain ◽  
Celiac Trunk ◽  
Robotic Approach ◽  
Median Arcuate Ligament ◽  
Median Arcuate Ligament Syndrome ◽  
Clinical Diagnostic ◽  
Arcuate Ligament ◽  
History Of

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.

Compression of the Celiac Artery by the Median Arcuate Ligament: Multidetector Computed Tomography Findings and Characteristics

2015 ◽  
Vol 66 (3) ◽  
pp. 272-276 ◽  
Author(s):  
Ozdil Baskan ◽  
Emre Kaya ◽  
Fatma Zeynep Gungoren ◽  
Cengiz Erol
Keyword(s):  
Computed Tomography ◽  
Multidetector Computed Tomography ◽  
Dominant Role ◽  
Gastrointestinal Symptoms ◽  
Celiac Artery ◽  
Arterial Phase ◽  
Control Group ◽  
Median Arcuate Ligament ◽  
Arcuate Ligament ◽  
Atherosclerotic Changes

Purpose The prevalence of the celiac artery stenosis caused by median arcuate ligament (MAL) compression and its multidetector computed tomography (MDCT) characteristics were evaluated in patients who underwent abdominal MDCT procedures, retrospectively. Methods Totally 1121 patients who had abdominal MDCT with arterial phase or MDCT angiography of the abdominal aorta for various indications were analyzed for celiac artery compression by the MAL. Results Fifty (ie, 4.6%) patients showed typical MDCT features of MAL compression. Focal narrowing of the proximal celiac artery, a characteristic hooked appearance of the narrowed segment without calcification and atherosclerotic changes were diagnostic. Poststenotic dilatation was detected in 22 (44%) patients with MAL compression. The ratio of the stenosis of the celiac artery was between 35%-50% in 15 patients and 51%-80% in 35 patients. The gastroduodenal artery diameter of these patients was not significantly different from the asymptomatic control group. Conclusion MALS is an uncommon entity but it should be kept in mind in the presence of unexplained gastrointestinal symptoms. MDCT is a minimally invasive and plays a dominant role in the diagnosis of MAL compression especially with reformatted and 3-D reconstructed images.

Chronic abdominal pain as a manifestation of congenital compressional stenosis of the celiac trunk in children: world and own experience

2020 ◽  
Vol 15 (4) ◽  
pp. 62-68
Author(s):  
R.A. Zainulabidov ◽  
◽  
A.Yu. Razumovsky ◽  
A.I. Khavkin ◽  
◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Lymph Nodes ◽  
Congenital Abnormality ◽  
Celiac Trunk ◽  
Chronic Abdominal Pain ◽  
Median Arcuate Ligament ◽  
Modern Methods ◽  
Arcuate Ligament ◽  
Dunbar Syndrome ◽  
Methods Of Treatment

Celiac trunk compression stenosis or Dunbar's syndrome, characterized by chronic abdominal pain, is a congenital abnormality based on compression of the celiac trunk by the inner legs of the median arcuate ligament of the diaphragm and neurofibrous tissue of the celiac plexus. In the overwhelming majority of cases, Dunbar's syndrome is a congenital malformation, but variants of compression of the celiac trunk by enlarged lymph nodes are also possible and is considered an acquired disease. The review considers modern methods of treatment of Dunbar syndrome in children and the supervision of this group of patients. Key words: Compression celiac trunk stenosis in children, Dunbar syndrome, median arcuate ligament tsyndrome

scholarly journals Multiple Aneurysms of the Inferior Pancreaticoduodenal Artery: A Rare Complication of Acute Pancreatitis

2013 ◽  
Vol 2013 ◽  
pp. 1-5 ◽  
Author(s):  
Chris Klonaris ◽  
Emmanouil Psathas ◽  
Athanasios Katsargyris ◽  
Stella Lioudaki ◽  
Achilleas Chatziioannou ◽  
...  
Keyword(s):  
Acute Pancreatitis ◽  
Rare Complication ◽  
Celiac Trunk ◽  
Celiac Artery ◽  
Median Arcuate Ligament ◽  
Pancreaticoduodenal Artery ◽  
Median Arcuate Ligament Syndrome ◽  
Arcuate Ligament ◽  
History Of ◽  
Technical Considerations

Inferior pancreaticoduodenal artery (IPDA) aneurysms are uncommon, representing nearly 2% of all visceral aneurysms, and sporadically associated with celiac artery stenosis. Multiple IPDA aneurysms have been rarely reported. We report a case of a 53-year-old female patient with a history of prior pancreatitis, who presented with two IPDA aneurysms combined with median arcuate ligament-syndrome-like stenosis of the celiac trunk. The patient was treated successfully with coil embolization under local anesthesia. The procedure is described and illustrated in detail and the advantages and technical considerations of such an approach are also being discussed.

scholarly journals Dunbar syndrome as a cause of chronic abdominal pain in a 24-year-old female

2020 ◽  
Vol 7 (1) ◽  
pp. 15
Author(s):  
Zachary A Koenig ◽  
Joel Yednock
Keyword(s):  
Abdominal Pain ◽  
Duplex Ultrasound ◽  
Celiac Trunk ◽  
Celiac Artery ◽  
Median Arcuate Ligament ◽  
External Compression ◽  
Cross Sectional ◽  
Downward Displacement ◽  
Arcuate Ligament ◽  
Dunbar Syndrome

External compression of the celiac artery by the median arcuate ligament is referred to as Dunbar syndrome, which is an eponym for celiac axis syndrome or median arcuate ligament syndrome. It is correlated with the archetypal triad of postprandial abdominal pain, weight loss of greater than 20 pounds, and an abdominal bruit on auscultation. This is often accompanied by epigastric tenderness, vomiting, and nausea. Given its lack of symptomatic specificity, Dunbar syndrome is a diagnosis of exclusion for unexplained episodic abdominal discomfort. Here, we present a unique case of a 24-year-old woman who experienced several months of chronic abdominal distress and an extensive workup prior to being diagnosed with Dunbar syndrome. The diagnosis was made via cross-sectional abdominal imaging and duplex ultrasound with respiratory maneuvers, which showed downward displacement of the celiac trunk, post-stenotic dilatation, and increased flow velocity on expiration. She underwent successful laparoscopic division of the median arcuate ligament which greatly alleviated her pain.

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