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Median arcuate ligament syndrome with severe two-vessel involvement

J D Lawson, J L Ochsner

    Archives of Surgery (Chicago, Ill. : 1960)
    |February 1, 1984
    PubMed

    Insights

    Intestinal angina, a rare condition from reduced visceral blood supply, can be caused by median arcuate ligament compression. Surgical division of the ligament successfully treated a patient with severe symptoms.

    Area of Science:

    • Gastroenterology
    • Vascular Surgery
    • Abdominal Imaging

    Background:

    • Intestinal angina results from compromised blood flow to abdominal organs, typically requiring significant vascular obstruction.
    • Median arcuate ligament syndrome (MALS) involves celiac artery compression, but its role in severe intestinal angina is debated.

    Observation:

    • A patient presented with severe symptoms attributed to median arcuate ligament compression.
    • The ligament completely occluded the celiac axis and severely narrowed the superior mesenteric artery in this patient.

    Findings:

    • The study details a unique case of intestinal angina caused by median arcuate ligament.
    • Complete celiac axis occlusion and severe superior mesenteric artery stenosis were identified as the underlying pathology.

    Implications:

    • This case highlights the potential for median arcuate ligament syndrome to cause severe intestinal angina.
    • Surgical division of the median arcuate ligament can effectively treat this condition, offering a potential therapeutic strategy.

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