How to Cite
1.
Cárdenas Quirós MF, Rojas Chaves S. Median arcuate ligament syndrome, a pathology to be taken into account. Rev.méd.sinerg. [Internet]. 2019Apr.1 [cited 2024May18];4(4):12 - 17. Available from: https://www.revistamedicasinergia.com/index.php/rms/article/view/204
Abstract
Median arcuate ligament syndrome (MALS) or celiac axis compression syndrome (CACS) is an uncommon condition caused by the external compression of the celiac trunk by the median arcuate ligament. This symptom involves abdominal pain, nausea, vomiting, and weight loss. Traditionally, the compression of the celiac trunk is usually seen on the sagittal view of a computerized tomography scan where it appears prominent on expiration; however, in severe cases, it may be shown as a persistent compression on inspiration. Typically, the treatment of this syndrome is surgery such as a classic opening or a novel laparoscopic division of the median arcuate ligament to relieve the extrinsic compression Percutaneous endovascular treatment is an alternative technique and may be considered in selected cases, for which the traditional surgery failed or was a treatment option.
Keywords
syndrome. ligaments. general surgery. abdominal pain.
References
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9. Kuruvilla A, Murtaza G, Cheema A, Arshad HMS. Median Arcuate Ligament Syndrome: It Is Not Always Gastritis. Journal of Investigative Medicine High Impact Case Reports. 2017 07;5(3):232470961772875. https://doi.org/10.1177/2324709617728750
10. Horton KM, Talamini MA, Fishman EK. Median Arcuate Ligament Syndrome: Evaluation with CT Angiography. RadioGraphics. 2005 09;25(5):1177-1182. https://doi.org/10.1148/rg.255055001
11. Randhawa S, Patil A, Kelkar A, Kelkar A. Median arcuate ligament syndrome: A diagnosis on CT abdominal angiography in cases of non-specific abdominal pain. Medical Journal of Dr. D.Y. Patil University. 2015;8(5):645-648. https://doi.org/10.4103/0975-2870.164947
12. Tembey R, Bajaj A, Wagle P, Ansari A. Real-time ultrasound: Key factor in identifying celiac artery compression syndrome. Indian Journal of Radiology and Imaging. 2015;25(2):202-205. https://doi.org/10.4103/0971-3026.155882
13. Gruber H, Loizides A, Peer S & Gruber I. Ultrasound of the median arcuate ligament syndrome: a new approach to diagnosis. Medical Ultrasonography 2012; 14(1): 5-9. Disponible en: http://www.medultrason.ro/assets/Medultrason-2012-vol14-no1/02Gruber.pdf
14. Desmond CP, Roberts SK. Exercise-related abdominal pain as a manifestation of the median arcuate ligament syndrome. Scandinavian Journal of Gastroenterology. 2004 01;39(12):1310-1313. https://doi.org/10.1080/00365520410008150
15. Roseborough GS. Laparoscopic management of celiac artery compression syndrome. Journal of Vascular Surgery. 2009 07;50(1):124-133. https://doi.org/10.1016/j.jvs.2008.12.078
16. Columbo JA, Trus T, Nolan B, Goodney P, Rzucidlo E, Powell R, Walsh D, Stone D. Contemporary management of median arcuate ligament syndrome provides early symptom improvement. Journal of Vascular Surgery. 2015 07;62(1):151-156. https://doi.org/10.1016/j.jvs.2015.01.050
17. Grotemeyer D, Duran M, Iskandar F, Blondin D, Nguyen K, Sandmann W. Median arcuate ligament syndrome: vascular surgical therapy and follow-up of 18 patients. Langenbeck’s Archives of Surgery. 2009 06 09;394(6):1085-1092. https://doi.org/10.1007/s00423-009-0509-5
2. Dunbar JD, Molnar W, Beman FF, Marable SA. Compression of the celiac trunk and abdominal angina. American Journal of Roentgenology. 1965 Nov;95(3):731-744. https://doi.org/10.2214/ajr.95.3.731
3. Colapinto RF, McLoughlin MJ, Weisbrod GL. The Routine Lateral Aortogram and the Celiac Compression Syndrome. Radiology. 1972 06;103(3):557-563. https://doi.org/10.1148/103.3.557
4. Sturiale A, Alemanno G, Giudici F, Addasi R, Bellucci F, Tonelli F. Median Arcuate Ligament Syndrome in a patient with Crohn’s disease. International Journal of Surgery Case Reports. 2013;4(4):399-402. https://doi.org/10.1016/j.ijscr.2013.01.015
5. Schiappacasse F G, Maldonado S I, Varela U C, Müller C K, Ortiz V J. Síndrome del ligamento arcuato medio: review article. Revista chilena de radiología. 2014;20(4):149-155. https://doi.org/10.4067/s0717-93082014000400005
6. San Norberto E, Montes J, Romero A, Núñez E, Vaquero C. Síndrome del ligamento arcuato medio: a propósito de tres casos y revisión de la literatura. Angiología. 2012 07;64(4):167-172. https://doi.org/10.1016/j.angio.2011.11.004
7. Ozbulbul NI. CT angiography of the celiac trunk: anatomy, variants and pathologic findings. Diagnostic and Interventional Radiology. 2011; 17(2): 150-157. https://doi.org/10.4261/1305-3825.dir.3283-10.1
8. Novo Martínez GM, Rodríguez Morata A, Alonso Argüeso G, Reyes Ortega JP, Gómez Medialdea R. Dolor abdominal crónico recurrente, a consecuencia del síndrome del ligamento arcuato medio. Cirugía Española. 2016 05;94(5):301-303. https://doi.org/10.1016/j.ciresp.2016.02.013
9. Kuruvilla A, Murtaza G, Cheema A, Arshad HMS. Median Arcuate Ligament Syndrome: It Is Not Always Gastritis. Journal of Investigative Medicine High Impact Case Reports. 2017 07;5(3):232470961772875. https://doi.org/10.1177/2324709617728750
10. Horton KM, Talamini MA, Fishman EK. Median Arcuate Ligament Syndrome: Evaluation with CT Angiography. RadioGraphics. 2005 09;25(5):1177-1182. https://doi.org/10.1148/rg.255055001
11. Randhawa S, Patil A, Kelkar A, Kelkar A. Median arcuate ligament syndrome: A diagnosis on CT abdominal angiography in cases of non-specific abdominal pain. Medical Journal of Dr. D.Y. Patil University. 2015;8(5):645-648. https://doi.org/10.4103/0975-2870.164947
12. Tembey R, Bajaj A, Wagle P, Ansari A. Real-time ultrasound: Key factor in identifying celiac artery compression syndrome. Indian Journal of Radiology and Imaging. 2015;25(2):202-205. https://doi.org/10.4103/0971-3026.155882
13. Gruber H, Loizides A, Peer S & Gruber I. Ultrasound of the median arcuate ligament syndrome: a new approach to diagnosis. Medical Ultrasonography 2012; 14(1): 5-9. Disponible en: http://www.medultrason.ro/assets/Medultrason-2012-vol14-no1/02Gruber.pdf
14. Desmond CP, Roberts SK. Exercise-related abdominal pain as a manifestation of the median arcuate ligament syndrome. Scandinavian Journal of Gastroenterology. 2004 01;39(12):1310-1313. https://doi.org/10.1080/00365520410008150
15. Roseborough GS. Laparoscopic management of celiac artery compression syndrome. Journal of Vascular Surgery. 2009 07;50(1):124-133. https://doi.org/10.1016/j.jvs.2008.12.078
16. Columbo JA, Trus T, Nolan B, Goodney P, Rzucidlo E, Powell R, Walsh D, Stone D. Contemporary management of median arcuate ligament syndrome provides early symptom improvement. Journal of Vascular Surgery. 2015 07;62(1):151-156. https://doi.org/10.1016/j.jvs.2015.01.050
17. Grotemeyer D, Duran M, Iskandar F, Blondin D, Nguyen K, Sandmann W. Median arcuate ligament syndrome: vascular surgical therapy and follow-up of 18 patients. Langenbeck’s Archives of Surgery. 2009 06 09;394(6):1085-1092. https://doi.org/10.1007/s00423-009-0509-5
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