Median Arcuate Ligament Syndrome: An Unusual Cause of Chronic Abdominal Pain

2016 ◽  
Vol 4 ◽  
pp. 1-6 ◽  
Author(s):  
Samuel J. Kallus ◽  
Pooja Singhal ◽  
Caren Palese ◽  
Jill P. Smith ◽  
Nadim Haddad
Keyword(s):  
Abdominal Pain ◽  
Chronic Abdominal Pain ◽  
Median Arcuate Ligament ◽  
Median Arcuate Ligament Syndrome ◽  
Arcuate Ligament

Síndrome do Ligamento Arqueado Mediano - Relato de Caso/ Median Arcuate Ligament Syndrome – Case Report

1970 ◽  
Vol 3 (1) ◽  
pp. 67-76
Author(s):  
Leandro Urquiza Marques Alves Da Silva ◽  
Rodrigo Ribeiro Tiengo
Keyword(s):  
Abdominal Pain ◽  
Case Report ◽  
Multislice Ct ◽  
Celiac Trunk ◽  
Chronic Abdominal Pain ◽  
Vascular Compression ◽  
Imaging Findings ◽  
Median Arcuate Ligament ◽  
Median Arcuate Ligament Syndrome ◽  
Arcuate Ligament

Introdução: A Síndrome do Ligamento Arqueado Mediano, também denominada Síndrome da Compressão do Tronco Celíaco decorre da compressão do Tronco Celíaco pelo ligamento Arqueado Mediano, comprometendo o fluxo sanguíneo e causando sintomas. O grau de compressão varia com as fases do ciclo respiratório, devido a mobilidade das estruturas, sendo maior na expiração. Casuística: O trabalho relata o caso de uma paciente com quadro de dor abdominal crônica, mal definida, há cerca de 25 anos. Os sintomas eram desencadeados pela ingestão de alimentos. Foram realizados exames de imagem para investigação diagnóstica que demonstraram alterações típicas da compressão do Tronco Celíaco pelo Ligamento Arqueado Mediano, como o aspecto em “gancho” na angiotomografia multislice do abdome e aumento das velocidades sistólica e diastólica, no estudo ultrassonográfico com Doppler. Discussão: Diante do quadro clínico apresentado pela paciente, estabeleceu-se o diagnóstico da Síndrome do Ligamento Arqueado Mediano, caracterizada pelos achados imagenológicos citados, associados aos sintomas de dor abdominal crônica, mal definida, geralmente desencadeada pela alimentação. Os estudos de imagem também permitiram a exclusão de outras patologias que poderiam ser a causa das dores da paciente. Conclusão: Os achados de imagem são fundamentais para o diagnóstico da síndrome, pois quando presentes têm alta especificidade e ainda podem excluir outras condições que poderiam causar dor abdominal crônica. O tratamento consiste na secção do ligamento, sua indicação ainda permanece controversa na literatura.Palavras chave: Ligamento Arqueado Mediano, tronco celíaco, compressão vascular.ABSTRACTIntroduction: The Median Arcuate Ligament Syndrome, also called Syndrome Compression of the results from of Celiac Trunk compression by the ligament Arched Median, compromising blood flow and causing symptoms. The degree of compression varies with the phases of the respiratory cycle, because of the mobility of the structures, being greater during expiration. Case report: The case reports a history of a patient with chronic abdominal pain, ill-defined, about 25 years. The symptoms were triggered by the ingestion of food .Performed imaging exams that showed changes typical of compression of the Celiac Trunk by Median arcuate ligament, as the appearance of "hook" on multislice CT angiography of the abdomen and increase in systolic and diastolic velocities at Doppler ultrasonographic examinations. Discussion: Given the clinical history presented by the patient, we established the diagnosis of Median Arcuate Ligament Syndrome, characterized by the above imaging findings and symptoms associated with chronic abdominal pain, ill-defined, usually triggered by food. Imaging studies also allowed the exclusion of other pathologies that could be the cause of the patient’s pain. Conclusion: The imaging findings are essential for the diagnosis of the syndrome, because they have high specificity and can still rule out other conditions that could cause abdominal pain chronic. The treatment consists in section of the ligament, its indication is still controversial in literature. Key words: Arcuate ligament, celiac trunk, vascular compression 

Median Arcuate Ligament Syndrome: A Missed Diagnosis in Patients With Chronic Abdominal Pain

2018 ◽  
Vol 113 (Supplement) ◽  
pp. S1050-S1051
Author(s):  
Josh Nichols ◽  
Sarah Al-Obaidi ◽  
Ihsan Al-Bayati ◽  
Irene Sarosiek ◽  
Brian Davis ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Chronic Abdominal Pain ◽  
Median Arcuate Ligament ◽  
Median Arcuate Ligament Syndrome ◽  
Arcuate Ligament ◽  
Missed Diagnosis

Pediatric Chronic Abdominal Pain and Median Arcuate Ligament Syndrome: A Review and Psychosocial Comparison

2016 ◽  
Vol 45 (7) ◽  
pp. e257-e264 ◽  
Author(s):  
Grace Zee Mak ◽  
Amanda R. Lucchetti ◽  
Tina Drossos ◽  
Ellen E. Fitzsimmons-Craft ◽  
Erin C. Accurso ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Chronic Abdominal Pain ◽  
Median Arcuate Ligament ◽  
Median Arcuate Ligament Syndrome ◽  
Arcuate Ligament

2762 Median Arcuate Ligament Syndrome: A Rare but Overlooked Cause of Post-Prandial Abdominal Pain

2019 ◽  
Vol 114 (1) ◽  
pp. S1526-S1527
Author(s):  
Hussam Tayel ◽  
Hesham Tayel ◽  
Sagar V. Mehta ◽  
Rodrigo Duarte-Chavez ◽  
Brian Kim ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Median Arcuate Ligament ◽  
Median Arcuate Ligament Syndrome ◽  
Arcuate Ligament

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

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