title: Laparoscopic decompression as treatment for median arcuate ligament syndrome.
abstract: Median arcuate ligament syndrome (MALS) is a rare disorder due to coeliac trunk compression by the median arcuate ligament, resulting in coeliac artery stenosis characterised by chronic, recurrent abdominal pain. Patients with MALS are often middle-aged females presenting with a triad of postprandial epigastric pain, weight loss and abdominal bruit. It is a diagnosis of exclusion and confirmed by computed tomography or magnetic resonance imaging. Laparoscopic or open surgical decompression are the only treatment options in MALS. We present two cases of MALS treated by laparoscopic decompression as well as a literature review on this treatment.
authors: Jagiellonian University Medical College, Krakw , Poland.
authors: M
authors: M
authors: Rubinkiewicz
authors: Jagiellonian University Medical College, Krakw , Poland.
authors: P K
authors: PK
authors: Ramakrishnan
authors: Jagiellonian University Medical College, Krakw , Poland.
authors: B M
authors: BM
authors: Henry
authors: Jagiellonian University Medical College, Krakw , Poland.
authors: J
authors: J
authors: Roy
authors: Jagiellonian University Medical College, Krakw , Poland.
authors: A
authors: A
authors: Budzynski
mesh_terms: D000328:Adult; D002445:Celiac Artery / Q000002:abnormalities* / Q000000981:diagnostic imaging / Q000601:surgery; D003251:Constriction, Pathologic / Q000000981:diagnostic imaging / Q000601:surgery*; D019299:Decompression, Surgical / Q000379:methods*; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000379:methods; D000074742:Median Arcuate Ligament Syndrome; D014057:Tomography, X-Ray Computed
keywords: Coeliac artery compression syndrome; Dunbar syndrome; Laparoscopic decompression; Median arcuate ligament syndrome