Supradiaphragmatic origin of the celiac trunk leading to median arcuate ligament syndrome with superior mesenteric artery involvement

被引：0

作者：

Rama, Martina ^{[1
]}

Nasser, Wissam ^{[1
]}

Palvannan, Prashanth ^{[1
]}

Belko, Sara ^{[2
]}

Dimuzio, Paul ^{[1
]}

Palazzo, Francesco ^{[1
,3
]}

机构：

[1] Thomas Jefferson Univ, Sidney Kimmel Med Coll, Dept Surg, Philadelphia, PA USA

[2] Thomas Jefferson Univ, Jefferson Hlth Design Lab, Philadelphia, PA USA

[3] Thomas Jefferson Univ, Sidney Kimmel Med Coll, Dept Surg, 1100 Walnut St, 5th Floor, Philadelphia, PA 19107 USA

来源：

JOURNAL OF VASCULAR SURGERY CASES INNOVATIONS AND TECHNIQUES | 2024年 / 10卷 / 01期

关键词：

Dunbar syndrome; MAL; MALS; Median arcuate ligament; Median arcuate ligament syndrome; Supradiaphragmatic celiac trunk; Supradiaphragmatic SMA; Two-vessel MALS;

D O I：

10.1016/j.jvscit.2023.101315

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Median arcuate ligament (MAL) syndrome (MALS) is a rare condition caused by compression of the celiac artery by the MAL. Symptoms include abdominal pain, nausea, and weight loss. Rarely, the MAL can compress both the celiac artery and the superior mesenteric artery (SMA). We describe the case of a young man with MALS involving the celiac artery and SMA. Laparoscopic release of the MAL was performed, and the patient had resolution of his symptoms at 6 months of follow-up. A review of the literature identified only six cases of MALS involving the SMA and celiac artery, making this a rare occurrence. (J Vasc Surg Cases Innov Tech 2024;10:101315.)

引用

页数：4

共 13 条

[1] Clinical Response to Celiac Plexus Block Confirms the Neurogenic Etiology of Median Arcuate Ligament Syndrome [J].

Barbon, Dennis A. ;

Hsu, Richard ;

Noga, Josef ;

Lazzara, Bryan ;

Miller, Todd ;

Stainken, Brian F. .

JOURNAL OF VASCULAR AND INTERVENTIONAL RADIOLOGY, 2021, 32 (07) :1081-1087

[2] MEDIAN ARCUATE LIGAMENT COMPRESSION OF CELIAC AND SUPERIOR MESENTERIC ARTERIES [J].

CURL, JH ;

THOMPSON, NW ;

STANLEY, JC .

ANNALS OF SURGERY, 1971, 173 (02) :314-+

[3] Chronic Mesenteric Ischemia in a 26-Year-Old Man: Multivessel Median Arcuate Ligament Compression Syndrome [J].

Doyle, Adam J. ;

Chandra, Ankur .

ANNALS OF VASCULAR SURGERY, 2012, 26 (01)

[4]

HARJOLA P T, 1963, Ann Chir Gynaecol Fenn, V52, P547

[5] Median arcuate ligament syndrome: Evaluation with CT angiography [J].

Horton, KM ;

Talamini, MA ;

Fishman, EK .

RADIOGRAPHICS, 2005, 25 (05) :1177-1182

[6] Median Arcuate Ligament Syndrome [J].

Iobst, Taylor P. ;

Lamb, Kelsey M. ;

Spitzer, Stacy L. ;

Patel, Ravi N. ;

Alrefai, Sameer S. .

CUREUS JOURNAL OF MEDICAL SCIENCE, 2022, 14 (02)

[7] Laparoscopic Surgery for Median Arcuate Ligament Syndrome (MALS): A Prospective Cohort of 52 Patients [J].

Kazmi, Syed Sajid Hussain ;

Safi, Nathkai ;

Berge, Simen Tveten ;

Kazmi, Marryam ;

Sundhagen, Jon Otto ;

Hisdal, Jonny .

VASCULAR HEALTH AND RISK MANAGEMENT, 2022, 18 :139-151

[8]

LAWSON JD, 1984, ARCH SURG-CHICAGO, V119, P226

[9] Chronic Mesenteric Ischemia from Diaphragmatic Compression of the Celiac and Superior Mesenteric Arteries [J].

Lee, Jenny J. ;

Mills, Joseph L., Sr. .

ANNALS OF VASCULAR SURGERY, 2016, 30 :311.e5-311.e8

[10] An Unusual Origin of the Celiac Trunk and the Superior Mesenteric Artery in the Thorax [J].

Matusz, Petru ;

Iacob, Nicoleta ;

Miclaus, Gratian D. ;

Pureca, Ana ;

Ples, Horia ;

Loukas, Marios ;

Tubbs, R. Shane .

CLINICAL ANATOMY, 2013, 26 (08) :975-979

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