A Case of Median Arcuate Ligament Syndrome Managed by Laparoscopic Surgery and Additional Endovascular Treatment: Report of a Case

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.

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Three Cases of Median Arcuate Ligament Syndrome in a Tertiary Care Setting

The American Journal of Gastroenterology ◽

10.14309/00000434-201410002-01515 ◽

2014 ◽

Vol 109 ◽

pp. S445

Author(s):

Samuel Kallus ◽

Pooja Singhal ◽

Caren Palese ◽

Nadim Haddad

Keyword(s):

Care Setting ◽

Tertiary Care ◽

Median Arcuate Ligament ◽

Median Arcuate Ligament Syndrome ◽

Arcuate Ligament ◽

Tertiary Care Setting

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

Langenbeck s Archives of Surgery ◽

10.1007/s00423-021-02195-9 ◽

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

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The many faces of Hereditary Hemorrhagic Telangiectasia: median arcuate ligament syndrome, arteriovenous malformations, and cerebral aneurysms

Internal and Emergency Medicine ◽

10.1007/s11739-012-0810-0 ◽

2012 ◽

Vol 7 (4) ◽

pp. 385-386 ◽

Cited By ~ 3

Author(s):

Jeffrey Forris Beecham Chick ◽

Scott Eugene Sheehan ◽

Nikunj Rashmikant Chauhan

Keyword(s):

Hereditary Hemorrhagic Telangiectasia ◽

Arteriovenous Malformations ◽

Cerebral Aneurysms ◽

Median Arcuate Ligament ◽

Median Arcuate Ligament Syndrome ◽

Arcuate Ligament ◽

The Many

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IP243 Outcomes of Celiac Decompression in a Cohort of Patients With Median Arcuate Ligament Syndrome

Journal of Vascular Surgery ◽

10.1016/j.jvs.2017.03.226 ◽

2017 ◽

Vol 65 (6) ◽

pp. 120S

Author(s):

Bernardino C. Branco ◽

Jayer Chung ◽

Ramyar Gilani ◽

Miguel Monter-Baker ◽

Joseph Mills ◽

...

Keyword(s):

Median Arcuate Ligament ◽

Median Arcuate Ligament Syndrome ◽

Arcuate Ligament

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Dunbar (Or Median Arcuate Ligament) Syndrome: A Case Series

Journal of University of Shanghai for Science and Technology ◽

10.51201/jusst/21/09562 ◽

2021 ◽

Vol 23 (09) ◽

pp. 450-459

Author(s):

Dr Praveen K Sharma, MD RD ◽

◽

Dr. Pavankumar mathapati ◽

Dr. Dinesh babu J ◽

Dr. Keerthi vatsan ◽

...

Keyword(s):

Case Series ◽

Vascular Reconstruction ◽

Vascular Compression ◽

Median Arcuate Ligament ◽

Median Arcuate Ligament Syndrome ◽

Non Invasive ◽

Compression Syndrome ◽

Axis Compression ◽

Arcuate Ligament ◽

Dunbar Syndrome

Dunbar syndrome (DS) (or Median arcuate ligament syndrome) is a rare entity of the vascular compression syndrome, where there is focal proximal coeliac axis compression by Median arcuate ligament (MAL). It results in an insufficient supply of blood to the respective organs of the gastrointestinal tract (GIT). Multi-detector computed tomography (MDCT) is a very convenient non-invasive modality in diagnosing this condition and helpful in distinguishing it from other conditions, such as atherosclerotic disease. DS can further be treated disorder surgically by relieving the compression and sometimes may need vascular reconstruction. We present five cases of the DS.

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