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Related Experiment Videos

[Superior mesenteric artery compression syndrome].

R J van Dongen

    Langenbecks Archiv Fur Chirurgie. Supplement II, Verhandlungen Der Deutschen Gesellschaft Fur Chirurgie. Deutsche Gesellschaft Fur Chirurgie. Kongress
    |January 1, 1990
    PubMed
    Summary

    Median arcuate ligament syndrome is rare, affecting the celiac axis and superior mesenteric artery. Surgical division of the ligament successfully treated four patients with severe abdominal angina.

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    Area of Science:

    • Vascular Surgery
    • Gastroenterology
    • Diaphragmatic Anatomy

    Background:

    • Median arcuate ligament syndrome (MALS) involves compression of the celiac axis and superior mesenteric artery.
    • This specific presentation, compressing both arteries simultaneously, is exceptionally rare, with only two prior case reports.
    • Abdominal angina is a debilitating symptom of mesenteric ischemia.

    Purpose of the Study:

    • To describe a series of patients diagnosed with MALS causing severe abdominal angina.
    • To report on the surgical management and outcomes for this uncommon condition.
    • To highlight the effectiveness of surgical intervention for MALS.

    Main Methods:

    • Case series describing four patients with symptomatic MALS.
    • Diagnosis confirmed through clinical presentation and potentially imaging (details not provided in abstract).
    • Surgical treatment involved division of the median arcuate ligament.

    Main Results:

    • Four patients presented with severe abdominal angina attributed to MALS.
    • All four patients experienced complete resolution of symptoms following surgical division of the median arcuate ligament.
    • No complications were reported in the abstract.

    Conclusions:

    • Simultaneous compression of the celiac axis and superior mesenteric artery by the median arcuate ligament can cause severe abdominal angina.
    • Division of the median arcuate ligament is an effective treatment for this rare condition.
    • This case series expands the literature on MALS and its surgical management.

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