title: Laparoscopic Treatment of Median Arcuate Ligament Syndrome: A Rare Cause of Chronic Severe Abdominal Pain.
abstract: Median arcuate ligament syndrome is a rare disorder characterized by chronic postprandial abdominal pain and weight loss caused by compression on celiac artery. A 17-year-old girl with chronic severe abdominal pain and weight loss was referred to our clinic. Other causes of chronic abdominal pain were investigated and excluded. The compression on celiac artery was detected on Doppler ultrasound and diagnosis was confirmed by computed tomography angiography. The patient underwent laparoscopic release of median arcuate ligament. There were no intraoperative complications; however, partial pain response was observed postoperatively that necessitated para-spinal ganglion blockage. The patient is symptom-free in 1-year follow-up period.
authors.affiliation: Department of Pediatric Surgery, Faculty of Medicine, Ege University, İzmir, Turkey.
authors.forename: Emre
authors.initials: E
authors.lastname: Divarci
authors.affiliation: Department of Pediatric Surgery, Faculty of Medicine, Ege University, İzmir, Turkey.
authors.forename: Ulgen
authors.initials: U
authors.lastname: Celtik
authors.affiliation: Department of Pediatric Surgery, Faculty of Medicine, Ege University, İzmir, Turkey.
authors.forename: Zafer
authors.initials: Z
authors.lastname: Dokumcu
authors.affiliation: Department of Pediatric Surgery, Faculty of Medicine, Ege University, İzmir, Turkey.
authors.forename: Ahmet
authors.initials: A
authors.lastname: Celik
authors.affiliation: Department of Pediatric Surgery, Faculty of Medicine, Ege University, İzmir, Turkey.
authors.forename: Orkan
authors.initials: O
authors.lastname: Ergun
keywords: Abdominal pain; celiac artery compression syndrome; children; laparoscopic release; median arcuate ligament syndrome