World Journal of Laparoscopic Surgery

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VOLUME 12 , ISSUE 1 ( January-April, 2019 ) > List of Articles

CASE REPORT

Laparoscopic Management of Median Arcuate Ligament Syndrome: Single Center Experience

Eppa Vimalakar Reddy, Gourang Shroff, Vemula Bala Reddy, Akella V Phanendra Somayajulu

Keywords : Celiac artery compression syndrome, Dunbar syndrome, Laparoscopy, Median arcuate ligament syndrome, Minimal invasive

Citation Information : Reddy EV, Shroff G, Reddy VB, Somayajulu AV. Laparoscopic Management of Median Arcuate Ligament Syndrome: Single Center Experience. World J Lap Surg 2019; 12 (1):39-42.

DOI: 10.5005/jp-journals-10033-1358

License: CC BY-NC 4.0

Published Online: 01-04-2019

Copyright Statement:  Copyright © 2019; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Median arcuate ligament syndrome (MALS) is a rare disease caused as a result of extrinsic compression by diaphragmatic fibers arching on the celiac artery at its point of origin from the abdominal aorta. Patients suffering from MALS presented with weight loss, nausea, vomiting, and postprandial epigastric pain. Often misdiagnosed with dyspepsia or acid peptic disease, this syndrome is a diagnosis by exclusion, after excluding commoner causes of the upper abdomen pain. It is diagnosed with computed tomographic (CT) angiography and treated with various modalities, including laparoscopic or open division of fibers of MAL, which cause extrinsic pressure. We report a series of three cases of MALS diagnosed and managed at our center, using laparoscopic division of the fibers and release of the celiac artery.


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