Laparoscopic release of median arcuate ligament.
Median arcuate ligament (MAL) syndrome, also known as the celiac axis compression syndrome, is rare. It is a diagnosis of exclusion, characterised by the clinical triad of postprandial abdominal pain, weight loss and vomiting. Computed tomographic angiography is the gold standard for making the diagnosis of MAL and colour Doppler is essential to confirm the diagnosis. The classic management involves the surgical division of the MAL fibres. We report successful management of two patients diagnosed as MAL syndrome and treated by laparoscopic release of the MAL.
Department of Minimally Invasive Surgery, The Institute for Special Surgery, Joy Hospital, Chembur, Mumbai, India.
Sachin
S
Wani
Vineet
V
Wakde
Rakesh
R
Patel
Roy
R
Patankar
S K
SK
Mathur