Related Experiment Video
Updated: Sep 30, 2025
03:33
Author Spotlight: Advancing Hepatobiliary and Pancreatic Tumor Treatment with Minimally Invasive Surgical Techniques
Published on: September 27, 2024
1.0K
Median Arcuate Ligament Syndrome
Taylor P Iobst1,2, Kelsey M Lamb1,2, Stacy L Spitzer1,2
1General Surgery, Sentara Halifax Regional Hospital, Halifax, USA.
Cureus
|March 16, 2022
Summary
Median arcuate ligament syndrome (MALS), a rare condition causing abdominal pain, can be effectively treated with laparoscopic surgery. This procedure relieved symptoms in a 63-year-old male patient, highlighting MALS as a key differential diagnosis.
Area of Science:
- Gastroenterology
- Vascular Surgery
- Diagnostic Imaging
Background:
- Median arcuate ligament syndrome (MALS) presents with vague symptoms like abdominal pain and weight loss, making diagnosis challenging.
- It is caused by the compression of the celiac artery by the median arcuate ligament.
Observation:
- A 63-year-old male presented with symptoms suggestive of MALS.
- Preoperative CT imaging confirmed celiac artery compression consistent with MALS.
Findings:
- Laparoscopic median arcuate ligament release was successfully performed without complications.
- The patient experienced complete resolution of abdominal pain, improved appetite, and weight gain post-surgery.
Implications:
- MALS should be considered in the differential diagnosis for patients with nonspecific abdominal pain and weight loss.
- CT and angiography are crucial for diagnosing MALS.
- Surgical decompression of the celiac artery offers significant symptom relief for MALS patients.
Related Concept Videos
01:22Appendicitis-I: Introduction
749
The appendix, a small, narrow, blind tube extending from the inferior part of the cecum, is widely regarded as a vestigial organ, having lost much of its original function through evolution. Despite its diminished role, the appendix can become inflamed, a condition known as appendicitis.
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
749
01:30Aneurysm I: Introduction
36
An aortic aneurysm is a localized outpouching or dilation at a weak point in the artery wall. It may involve different parts of the aorta, such as the abdominal aorta, aortic arch, or thoracic aorta.Etiological factorsSeveral disorders are associated with aortic aneurysms.Congenital causes, such as primary connective tissue disorders like Marfan syndrome, impact the integrity and strength of connective tissues, notably affecting the aorta. Marfan syndrome is a genetic disorder that specifically...
36
01:21Aneurysm II: Clinical Manifestations and Diagnostic Studies
38
Thoracic, aortic arch and abdominal aneurysms are significant vascular conditions that can present with various clinical manifestations and lead to serious complications. Understanding these manifestations and the appropriate diagnostic studies is essential for effective management and treatment.Thoracic Aortic AneurysmsThoracic aortic aneurysms often remain asymptomatic until they reach a size that impinges on adjacent structures. They typically cause deep, diffuse chest pain that radiates to...
38
01:25Aortic Regurgitation III: Medical Management
57
Aortic regurgitation (AR) is when the aortic valve does not close or seal properly, leading to backward blood circulation from the aorta into the left ventricle during diastole. Common causes of AR include rheumatic heart disease, congenital valve defects, and aortic root dilation. Managing AR requires a multifaceted approach to alleviate symptoms, preserve left ventricular function, and address the underlying cause of the regurgitation. Patients with symptomatic AR or significant left...
57
01:26Aneurysm III: Interprofessional Care
40
Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
40