scholarly journals A dangerous surgical masquerade - medial arcuate ligament syndrome as acute coronary syndrome: a case report

2020 ◽  
Vol 7 (6) ◽  
pp. 2016
Author(s):  
Preethi Subramanian ◽  
Rajan Vaithianathan
Keyword(s):  
Weight Loss ◽  
Case Report ◽  
Chest Pain ◽  
Celiac Artery ◽  
Sudden Onset ◽  
Median Arcuate Ligament ◽  
Median Arcuate Ligament Syndrome ◽  
Coronary Syndrome ◽  
Arcuate Ligament ◽  
Focal Stenosis

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.

scholarly journals Median Arcuate Ligament Syndrome: A Case Report

2018 ◽  
Vol 21 (2) ◽  
pp. 38-39
Author(s):  
Akash Chitrakar ◽  
Nirajan Subedi ◽  
Ramesh Singh Bhandari
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Epigastric Pain ◽  
Celiac Artery ◽  
Celiac Axis ◽  
Median Arcuate Ligament ◽  
Median Arcuate Ligament Syndrome ◽  
Celiac Ganglion ◽  
Extrinsic Compression ◽  
Arcuate Ligament

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.  

scholarly journals Intraoperative trans-esophageal echographic evaluation of the celiac artery flow after arcuate ligament resection in a case of Dunbar Syndrome. A case report

2021 ◽  
Vol 2 (3) ◽  
Author(s):  
Giacomo Coppalini ◽  
◽  
Enrico Giustiniano ◽  
Fulvio Nisi ◽  
Carlo Castoro ◽  
...  
Keyword(s):  
Weight Loss ◽  
Case Report ◽  
Rare Disease ◽  
Epigastric Pain ◽  
Celiac Trunk ◽  
Celiac Artery ◽  
Median Arcuate Ligament ◽  
Arcuate Ligament ◽  
Dunbar Syndrome ◽  
Artery Flow

Dunbar Syndrome (DS), also known as Median Arcuate Ligament (MAL) syndrome, is a rare disease in which the celiac trunk is compressed by a fibrous attachment at the diaphragmatic crura causing abdominal angina with a large spectrum of symptoms including nausea, vomiting, weight loss, and postprandial epigastric pain.

scholarly journals Median arcuate ligament syndrome presenting with unintentional weight loss and epigastric pain

2019 ◽  
Vol 6 (10) ◽  
pp. 3839
Author(s):  
Mohammed Taher Mujahid ◽  
Virendra Kumar Soni ◽  
Rahul Saini
Keyword(s):  
Weight Loss ◽  
Rare Case ◽  
Surgical Intervention ◽  
Epigastric Pain ◽  
Rare Condition ◽  
Celiac Artery ◽  
Median Arcuate Ligament ◽  
Median Arcuate Ligament Syndrome ◽  
Extrinsic Compression ◽  
Arcuate Ligament

Median arcuate ligament syndrome is a rare condition characterized by extrinsic compression of celiac artery and celiac plexus by the median arcuate ligament. Patients typically present with chronic postprandial pain, nausea and occasionally, vomiting and weight loss. Treatment of this syndrome is laparoscopic or open surgical release of median arcuate ligament and gangliectomy. We report a rare case of median arcuate ligament syndrome in a patient who presented with abdominal pain and nausea. The patient was evaluated, investigated and planned for surgical intervention but the patient refused for treatment.

scholarly journals Retroperitoneal Hematoma: Rupture of Aneurysm in the Arc of Bühler Caused by Median Arcuate Ligament Syndrome

2019 ◽  
Vol 12 ◽  
pp. 117954761982871
Author(s):  
Keiichiro Abe ◽  
Makoto Iijima ◽  
Keiichi Tominaga ◽  
Satoshi Masuyama ◽  
Naoya Izawa ◽  
...  
Keyword(s):  
Pancreatic Head ◽  
Celiac Artery ◽  
Sudden Onset ◽  
Aneurysm Rupture ◽  
Median Arcuate Ligament ◽  
Median Arcuate Ligament Syndrome ◽  
Abdominal Angiography ◽  
Arcuate Ligament ◽  
Upper Abdominal ◽  
The Right

We herein report a case with aneurysm rupture in the arc of Bühler (AOB) caused by median arcuate ligament syndrome (MALS). The patient experienced a sudden onset of upper abdominal pain. Contrast-enhanced abdominal computed tomography (CT) showed an iso- to hyper-enhancing area mainly ranging from the dorsal aspect of the pancreatic head to the retroperitoneum around the right kidney. Abdominal angiography revealed marked stenosis in the origin of the celiac artery caused by MALS and a 7-mm saccular aneurysm in the AOB. Thus, we diagnosed the pain as having been caused by aneurysm rupture in the AOB due to MALS. The patient’s symptoms and anemia also improved to normal range without surgery. Careful follow-up, considering possible recurrence of aneurysm at other sites in the future, is essential.

scholarly journals Median Arcuate Ligament Syndrome: An Exceptional Cause of Abdominal Pain

2021 ◽  
Vol 5 (4) ◽  
pp. 177-179
Author(s):  
Satilmis Bilgin ◽  
◽  
Gulali Aktas ◽  
Ozge Kurtkulagi ◽  
Tuba Taslamacioglu Duman ◽  
...  
Keyword(s):  
Coronary Artery Disease ◽  
Weight Loss ◽  
Abdominal Pain ◽  
Laparoscopic Surgery ◽  
Treatment Options ◽  
Celiac Artery ◽  
Median Arcuate Ligament ◽  
Median Arcuate Ligament Syndrome ◽  
Arcuate Ligament ◽  
Artery Disease

Abstract: Median Arcuate Ligament Syndrome (MALS) is caused by the compression of celiac artery by median arcuate ligament and may cause serious symptoms; such as abdominal pain and weight loss. Here we present a 56 year old man with MALS, whom suffered of postprandial abdominal pain, weight loss, nausea and vomiting. Laparoscopic surgery revealed his symptoms after MALS diagnosis was established. In conclusion, MALS should be considered in the differential diagnosis of patients with complaints of postprandial abdominal pain, nausea and weight loss. Laparoscopic surgery could be as successful as other treatment options in these patients. Keywords: Median arcuate ligament syndrome, Postprandial abdominal pain, Laparoscopic surgery, Nausea, Celiac disease, Coronary artery disease.

scholarly journals Median Arcuate Ligament Syndrome Confirmed with the Use of Intravascular Ultrasound

2014 ◽  
Vol 41 (1) ◽  
pp. 57-60 ◽  
Author(s):  
Fernando Vazquez de Lara ◽  
Christopher Higgins ◽  
Eduardo A. Hernandez-Vila
Keyword(s):  
Weight Loss ◽  
Abdominal Pain ◽  
Intravascular Ultrasound ◽  
Celiac Artery ◽  
Imaging Method ◽  
Ganglion Block ◽  
Median Arcuate Ligament ◽  
Median Arcuate Ligament Syndrome ◽  
Arcuate Ligament ◽  
Initial Imaging

Median arcuate ligament syndrome, a rarely reported condition, is characterized by postprandial abdominal pain, nausea, vomiting, and weight loss. Its cause is unclear. We present the case of a 45-year-old woman who had intermittent chronic positional abdominal pain without weight loss. Magnetic resonance angiograms and computed tomograms revealed stenosis of the celiac artery. Ostial compression was confirmed on catheter angiographic and intravascular ultrasonographic images. Intravascular ultrasound revealed far greater stenosis than did the initial imaging methods and confirmed a diagnosis of median arcuate ligament syndrome. In lieu of surgery, the patient underwent a celiac ganglion block procedure that substantially relieved her symptoms. To our knowledge, this is the first report of the use of intravascular ultrasound in the diagnosis of median arcuate ligament syndrome. We recommend using this imaging method preoperatively in other suspected cases of the syndrome, to better identify patients who might benefit from corrective surgery.

scholarly journals Laparoscopic Liberation of Celiac Artery in Median Arcuate Ligament Syndrome in Infant: A Case Report and Literature Overview

2018 ◽  
Vol 09 (10) ◽  
Author(s):  
Pierre Jean Aurelus ◽  
Hermilo De La Cruz Yáñez ◽  
Ramón Eduardo Salgado Sangri ◽  
Arturo Arias Ambrosio ◽  
María Del Roció Méndez Méndez ◽  
...  
Keyword(s):  
Case Report ◽  
Celiac Artery ◽  
Median Arcuate Ligament ◽  
Median Arcuate Ligament Syndrome ◽  
Literature Overview ◽  
Arcuate Ligament

Detailed anatomy and procedure of celiac artery decompression in median arcuate ligament syndrome

2021 ◽  
Author(s):  
Kyoji Ito ◽  
Nobuyuki Takemura ◽  
Ryo Oikawa ◽  
Fuyuki Inagaki ◽  
Fuminori Mihara ◽  
...  
Keyword(s):  
Celiac Artery ◽  
Median Arcuate Ligament ◽  
Median Arcuate Ligament Syndrome ◽  
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.

Sign in / Sign up

Export Citation Format

Share Document