Laparoscopic release of median arcuate ligament

Median arcuate ligament (MAL) syndrome, also known as the celiac axis compression syndrome, is rare. It is a diagnosis of exclusion, characterised by the clinical triad of postprandial abdominal pain, weight loss and vomiting. Computed tomographic angiography is the gold standard for making the diag...

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Bibliographic Details
Published in:Journal of minimal access surgery 2012-01, Vol.8 (1), p.16-18
Main Authors: Wani, Sachin, Wakde, Vineet, Patel, Rakesh, Patankar, Roy, Mathur, S K
Format: Article
Language:English
Subjects:
Care and treatment
Case studies
Celiac disease
coeliac artery compression
Coronary vessels
Diagnosis
Dissection
Health aspects
Laparoscopic
Laparoscopic surgery
Laparoscopy
median arcuate ligament
Medical imaging
Pain
Patient outcomes
Postoperative period
Risk factors
Surgery
Surgical techniques
Unusual Case
Veins & arteries
Weight control
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Description
Summary:Median arcuate ligament (MAL) syndrome, also known as the celiac axis compression syndrome, is rare. It is a diagnosis of exclusion, characterised by the clinical triad of postprandial abdominal pain, weight loss and vomiting. Computed tomographic angiography is the gold standard for making the diagnosis of MAL and colour Doppler is essential to confirm the diagnosis. The classic management involves the surgical division of the MAL fibres. We report successful management of two patients diagnosed as MAL syndrome and treated by laparoscopic release of the MAL.
ISSN:0972-9941
1998-3921
DOI:10.4103/0972-9941.91775