scholarly journals Three-Dimensional High-Definition Laparoscopic Treatment of Dunbar Syndrome (Celiac Axis Compression by Median Arcuate Ligament Hypertrophy) With Intra-Operative Laparoscopic Duplex Ultrasound Evaluation: Report of Two Cases

2016 ◽  
Vol 6 (6) ◽  
Author(s):  
Piera Leon ◽  
Pierluigi Angelini
Keyword(s):  
Three Dimensional ◽  
Duplex Ultrasound ◽  
Laparoscopic Treatment ◽  
High Definition ◽  
Median Arcuate Ligament ◽  
Evaluation Report ◽  
Ultrasound Evaluation ◽  
Axis Compression ◽  
Arcuate Ligament ◽  
Dunbar Syndrome

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

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.

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.

scholarly journals Laparoscopic treatment for celiac artery stenosis caused by median arcuate ligament compression with Adachi V type vascular anomaly: a case report

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Hiroshi Saito ◽  
Koichiro Sawada ◽  
Jyunichi Ogawa ◽  
Masashi Hashimoto ◽  
Masahiro Oshima ◽  
...  
Keyword(s):  
Epigastric Pain ◽  
Vascular Anomaly ◽  
Celiac Artery ◽  
Artery Stenosis ◽  
Laparoscopic Treatment ◽  
Median Arcuate Ligament ◽  
Case Presentation ◽  
Arcuate Ligament ◽  
Major Vascular Injury

Abstract Background Median arcuate ligament syndrome (MALS), which results from compression of the median arcuate ligament (MAL), is a rare cause of abdominal pain and weight loss. Treatment is dissection of the MAL; however, the laparoscopic procedure is not yet established and it involves the risk of major vascular injury, especially in cases with an anomaly. Case presentation A 47-year-old man was evaluated at the hospital for epigastric pain. Contrast computed tomography scan revealed stenosis of the celiac artery origin due to the MAL. An Adachi V type vascular anomaly was also observed. Laparoscopic treatment was performed to release pressure on the celiac artery. Laparoscopic ultrasonography was used to less invasively confirm the release of the MAL. Despite a concomitant Adachi V type vascular anomaly, surgery was safely performed using the laparoscopic magnification view and intraoperative ultrasonography. Follow-up ultrasonography confirmed the celiac artery stenosis has not recurred. Conclusions A rare case of MALS with an Adachi V type vascular anomaly is presented and the laparoscopic treatment is detailed.

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

P149 Median arcuate ligament syndrome (Mals-Dunbar syndrome) in prepubertal patient: case report

2018 ◽  
Vol 50 (4) ◽  
pp. e410
Author(s):  
M.T. Illiceto ◽  
G. Lisi ◽  
M. Filippone ◽  
N. Marino ◽  
M. Di Pietro ◽  
...  
Keyword(s):  
Case Report ◽  
Patient Case ◽  
Median Arcuate Ligament ◽  
Median Arcuate Ligament Syndrome ◽  
Arcuate Ligament ◽  
Dunbar Syndrome

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 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.

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