scholarly journals A Severe Case of Median Arcuate Ligament Syndrome with Successful Angioplasty and Stenting

2012 ◽  
Vol 2012 ◽  
pp. 1-4 ◽  
Author(s):  
Keerati Hongsakul ◽  
Sorracha Rookkapan ◽  
Jitpreedee Sungsiri ◽  
Teeravut Tubtawee
Keyword(s):  
Celiac Trunk ◽  
Severe Case ◽  
Median Arcuate Ligament ◽  
Median Arcuate Ligament Syndrome ◽  
Traditional Treatment ◽  
Compression Syndrome ◽  
Axis Compression ◽  
Arcuate Ligament ◽  
Angioplasty And Stenting ◽  
Celiac Axis Compression Syndrome

Median arcuate ligament syndrome (MAL) or celiac axis compression syndrome (CACS) is a rare etiology of chronic abdominal pain. Traditional treatment of this syndrome is surgery. We report a case of median arcuate ligament syndrome with a severe compression of the celiac trunk, which was successfully treated by angioplasty with stenting.

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 Celiac axis compression syndrome: laparoscopic approach in a strange case of chronic abdominal pain in 71 years old man

Open Medicine ◽  
2016 ◽  
Vol 11 (1) ◽  
pp. 248-251 ◽  
Author(s):  
Costantino Eretta ◽  
Alessia Ferrarese ◽  
Sonja Olcese ◽  
Mikaela Imperatore ◽  
Elisa Francone ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Young Patients ◽  
Laparoscopic Approach ◽  
Rare Condition ◽  
Celiac Axis ◽  
Median Arcuate Ligament ◽  
Compression Syndrome ◽  
Axis Compression ◽  
Arcuate Ligament ◽  
Celiac Axis Compression Syndrome

AbstractCeliac Axis Compression Syndrome by the Median Arcuate Ligament is a very rare condition characterized by chronic postprandial abdominal pain (angina abdominis), nausea, vomiting, which occurs mostly in young patients. The main treatment is a surgical procedure that consists of the division of the arcuate ligament combined with the section of the close diaphragmatic crus and the excision of the celiac plexus. Actually laparoscopic management is feasible and safe.

scholarly journals Laparoscopic Division of Median Arcuate Ligament for the Celiac Axis Compression Syndrome—Two Case Reports with Review of Literature

2016 ◽  
Vol 78 (2) ◽  
pp. 163-165 ◽  
Author(s):  
Parthasarathy Ramakrishnan ◽  
Biswajit Deuri ◽  
M. S. S. Keerthi ◽  
Subrahmaneswara Babu Naidu ◽  
Rajapandian Subbaiah ◽  
...  
Keyword(s):  
Case Reports ◽  
Celiac Axis ◽  
Review Of Literature ◽  
Median Arcuate Ligament ◽  
Compression Syndrome ◽  
Axis Compression ◽  
Arcuate Ligament ◽  
Celiac Axis Compression Syndrome

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.

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 Interprofessional Management of Median Arcuate Ligament Syndrome (Dunbar Syndrome) Related to Lumbar Lordosis and Hip Dysplasia: A Patient’s Perspective

2020 ◽  
Author(s):  
Sclinda Lea Janssen ◽  
Thomas Scholbach ◽  
Susan Jeno ◽  
Holte Laurie ◽  
Mandy Meyer ◽  
...  
Keyword(s):  
Lumbar Lordosis ◽  
Hip Dysplasia ◽  
Management Strategies ◽  
Celiac Artery ◽  
Median Arcuate Ligament ◽  
Median Arcuate Ligament Syndrome ◽  
Celiac Artery Compression Syndrome ◽  
Compression Syndrome ◽  
Arcuate Ligament ◽  
Dunbar Syndrome

We present a 53-year-old female patient with median arcuate ligament syndrome (MALS), also known as Dunbar syndrome or celiac artery compression syndrome, related to lumbar lordosis and hip dysplasia. She utilized interprofessional management strategies, which were beneficial in reducing lumbar lordosis and MALS-related symptoms. This finding is important because there are no other reports in the literature describing interprofessional strategies to manage symptoms for patients who are waiting for surgery or are not candidates for surgery.

scholarly journals Median Arcuate Ligament Syndrome

2018 ◽  
Vol 35 (2) ◽  
pp. 141-145 ◽  
Author(s):  
Evelyn Wu
Keyword(s):  
Epigastric Pain ◽  
Celiac Artery ◽  
Chronic Mesenteric Ischemia ◽  
Median Arcuate Ligament ◽  
Median Arcuate Ligament Syndrome ◽  
Celiac Artery Compression Syndrome ◽  
Compression Syndrome ◽  
Arcuate Ligament ◽  
Dunbar Syndrome ◽  
Abdominal Bruit

Median arcuate ligament syndrome (MALS) is a condition characterized by pain in the abdominal region attributed to compression of the celiac artery by the median arcuate ligament of the diaphragm during expiration. MALS is also known as celiac artery compression syndrome, celiac axis syndrome, or Dunbar syndrome. Pain may result from the tight pressing on the celiac nerves in the area. The patient usually presents with symptoms such as postprandial epigastric pain, weight loss, and, occasionally, an abdominal bruit. Furthermore, some individuals may experience nausea and vomiting. It may be an etiology of a rare disorder, chronic mesenteric ischemia.

scholarly journals The Roles of Celiac Trunk Angle and Vertebral Origin in Median Arcuate Ligament Syndrome

Diagnostics ◽  
2020 ◽  
Vol 10 (2) ◽  
pp. 76
Author(s):  
Ryan P. Dyches ◽  
Kelsey J. Eaton ◽  
Heather F. Smith
Keyword(s):  
Mesenteric Artery ◽  
Anatomical Variation ◽  
Gastrointestinal Symptoms ◽  
Celiac Trunk ◽  
Clinical Implications ◽  
Vertebral Level ◽  
Median Arcuate Ligament ◽  
Median Arcuate Ligament Syndrome ◽  
Arcuate Ligament ◽  
Flow Through

Median arcuate ligament syndrome (MALS) is a rarely diagnosed condition resulting from compression of the celiac trunk (CT) by the median arcuate ligament (MAL) of the diaphragm. Ischemia due to reduced blood flow through the CT and/or neuropathic pain resulting from celiac ganglion compression may result in a range of gastrointestinal symptoms, including nausea, postprandial discomfort, and weight loss. However, the mechanism of compression and its anatomical correlates have been incompletely delineated. It has been hypothesized that CT angle of origination may be more acute in individuals with MALS. Here, frequency of anatomical variation in the MAL and CT were assessed in 35 cadaveric subjects (17M/18F), including the vertebral level of origin of CT and superior mesenteric artery (SMA), the distance between CT and MAL and SMA, the angles of origination of CT and SMA, the diameter at the CT base, and MAL/CT overlap. Females exhibited significantly higher rates of inferred MAL/CT overlap than males. Significant correlations were revealed between MAL/CT overlap and angles of origination of the CT and SMA. Vertebral level of origin of the CT in individuals with MAL/CT overlap was not significantly more superior than in those without. This study also revealed a significant relationship between MAL/CT overlap and angle of origination of the CT, which has clinical implications for understanding the anatomy associated with MALS.

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