Abstract
Median arcuate ligament (MAL) syndrome is an uncommon condition caused by the external compression of the celiac trunk by the median arcuate ligament. In the current era of technological advancement, this syndrome may be corrected through the laparoscopic approach. We report two patients who were diagnosed as MAL syndrome and underwent laparoscopic division of MAL fibers at our institute. Both the patients improved symptomatically following the procedure and were discharged on the fourth post-operative day. Also, they remained symptom free during subsequent follow-up period of 1 year and 8 months, respectively. Laparoscopic approach to correct the MAL syndrome is feasible and safe. It may be the preferred modality of treatment in view of its superior visualization and lack of morbidity. However, adequate experience in advanced laparoscopic surgery is required before attempting this procedure.
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References
Harjola PT (1963) A rare obstruction of the coeliac artery. Report of a case. Ann Chir Gynaecol Enn 52:547–50
Duffy AJ, Panait L, Eisenberg D, Bell RL, Roberts KE, Sumpio B (2009) Management of median arcuate ligament syndrome: a new paradigm. Ann Vasc Surg 23(6):778–84. doi:10.1016/j.avsg.2008.11.005
Horton KM, Talamini MA, Fishman EK (2005) Median arcuate ligament syndrome: evaluation with CT angiography. Radiographics 25(5):1177–82
Jimenez JC, Harlander-Locke M, Dutson EP (2012) Open and laparoscopic treatment of median arcuate ligament syndrome. J Vasc Surg 56(3):869–73. doi:10.1016/j.jvs.2012.04.057
Carbonell AM, Kercher KW, Heniford BT, Matthews BD (2005) Multimedia article. Laparoscopic management of median arcuate ligament syndrome. Surg Endosc 19(5):729
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Ramakrishnan, P., Deuri, B., Keerthi, M.S.S. et al. Laparoscopic Division of Median Arcuate Ligament for the Celiac Axis Compression Syndrome—Two Case Reports with Review of Literature. Indian J Surg 78, 163–165 (2016). https://doi.org/10.1007/s12262-016-1448-3
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DOI: https://doi.org/10.1007/s12262-016-1448-3