Median Arcuate Ligament Syndrome Related to Bodybuilding

被引:1
作者
Ulualp, Kenan [1 ]
Masnyj, Stephen V. [2 ]
Lee, Cheong J. [3 ]
Gould, Jon C. [2 ]
机构
[1] Med Coll Wisconsin, Div Gastroenterol, Milwaukee, WI 53226 USA
[2] Med Coll Wisconsin, Div Gen Surg, Milwaukee, WI 53226 USA
[3] Med Coll Wisconsin, Div Vasc Surg, Milwaukee, WI 53226 USA
关键词
celiac artery; celiac ganglia; median arcuate ligament; abdominal pain; duplex ultrasonography;
D O I
10.1097/SLE.0000000000000592
中图分类号
R61 [外科手术学];
学科分类号
摘要
Background: Median arcuate ligament syndrome (MALS), also known as celiac artery compression syndrome, is characterized by postprandial abdominal pain and weight loss thought to be secondary to compression of the celiac artery ganglia by the median arcuate ligament (MAL). Methods: A young female powerlifter presented with a 3-month history of postprandial epigastric pain and involuntary weight loss following the start of a vigorous weightlifting program. The diagnosis of MALS was established after excluding other possibilities and by detailed evaluation including magnetic resonance imaging and celiac plexus block. She was treated by laparoscopic MAL release. Results: The patient experienced immediate and complete cessation of her pain. She has continued to be asymptomatic at 6 months after surgery. Conclusions: Heavy weightlifting may potentially lead to MALS. The laparoscopic approach to MAL release can be utilized to treat this condition with favorable results.
引用
收藏
页码:E9 / E11
页数:3
相关论文
共 17 条
[1]  
Balaban DH, 1997, AM J GASTROENTEROL, V92, P519
[2]   MEDIAN ARCUATE LIGAMENT COMPRESSION SYNDROME IN MONOZYGOTIC TWINS [J].
BECH, F ;
LOESBERG, A ;
ROSENBLUM, J ;
GLAGOV, S ;
GEWERTZ, BL .
JOURNAL OF VASCULAR SURGERY, 1994, 19 (05) :934-938
[3]   Celiac artery compression syndromes [J].
Bech, FR .
SURGICAL CLINICS OF NORTH AMERICA, 1997, 77 (02) :409-+
[4]   Do patient or hospital demographics predict cholecystectomy outcomes? A nationwide study of 93,578 patients [J].
Carbonell, AM ;
Lincourt, AE ;
Kercher, KW ;
Matthews, BD ;
Cobb, WS ;
Sing, RF ;
Heniford, BT .
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES, 2005, 19 (06) :767-773
[5]   MEDIAN ARCUATE LIGAMENT SYNDROME: A CASE OF AN 18-YEAR-OLD BOY WITH EXERCISE-RELATED PAIN [J].
Cocca, S. ;
Pallotta, L. ;
Urgesi, R. ;
D'Alba, L. ;
De Cesare, M. A. ;
Di Paolo, M. C. ;
Vitale, M. A. ;
Villotti, G. ;
Ribichini, E. ;
Avallone, V. E. ;
Graziani, M. G. .
DIGESTIVE AND LIVER DISEASE, 2017, 49 :E176-E176
[6]   Management of Median Arcuate Ligament Syndrome: A New Paradigm [J].
Duffy, Andrew J. ;
Panait, Lucian ;
Eisenberg, Dan ;
Bell, Robert L. ;
Roberts, Kurt E. ;
Sumpio, Bauer .
ANNALS OF VASCULAR SURGERY, 2009, 23 (06) :778-784
[7]   COMPRESSION OF CELIAC TRUNK AND ABDOMINAL ANGINA [J].
DUNBAR, JD ;
MOLNAR, W ;
BEMAN, FF ;
MARABLE, SA .
AMERICAN JOURNAL OF ROENTGENOLOGY RADIUM THERAPY AND NUCLEAR MEDICINE, 1965, 95 (03) :731-+
[8]   Laparoscopic Median Arcuate Ligament Release: Are We Improving Symptoms? [J].
El-Hayek, Kevin M. ;
Titus, Jessica ;
Bui, Au ;
Mastracci, Tara ;
Kroh, Matthew .
JOURNAL OF THE AMERICAN COLLEGE OF SURGEONS, 2013, 216 (02) :272-279
[9]   Exercise-induced median arcuate ligament syndrome in athletes [J].
Grant, Yasmin ;
Onida, Sarah ;
Dharmarajah, Brahman ;
Davies, Emma B. ;
Davies, Alun H. .
JOURNAL OF SPORTS MEDICINE AND PHYSICAL FITNESS, 2018, 58 (1-2) :193-195
[10]  
HARJOLA P T, 1963, Ann Chir Gynaecol Fenn, V52, P547