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Celiac artery occlusion from median arcuate ligament compression complicating a hemorrhagic duodenal ulcer repair

Anthony N Rizzo1, Marc Seligson2, William O'Brien3

  • 1Department of Surgery, OhioHealth Riverside Methodist Hospital, Columbus, OH.

Journal of Vascular Surgery Cases and Innovative Techniques
|December 22, 2023
PubMed

Insights

Median arcuate ligament (MAL) compression can cause celiac artery (CA) occlusion, complicating duodenal ulcers. Releasing MAL restored CA flow, preventing foregut ischemia during ulcer repair.

Area of Science:

  • Vascular Surgery
  • Gastroenterology
  • Anatomy

Background:

  • Hemorrhagic duodenal ulcers are a common surgical emergency.
  • Median arcuate ligament (MAL) syndrome involves compression of the celiac artery (CA).
  • Complications of CA compression during ulcer repair are not well-documented.

Keywords:
Acute median arcuate ligament syndromeCeliac artery stenosisDuodenal ulcerGastroduodenal arteryMedian arcuate ligament release

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