COMMENTS

  1. Median Arcuate Ligament Syndrome

    Methods: The authors report a clinical case and present a literature review using PubMed with the terms "median arcuate ligament", "Dunbar syndrome" and "MALS treatment" as major topics. The bibliography of relevant articles has been checked to identify other significant papers. Results: A 34-year-old woman, previously healthy, recurred to a ...

  2. Median arcuate ligament syndrome: A case report of a rare disease

    Go to: Median arcuate ligament syndrome (MALS), also known as celiac artery compression syndrome or Dunbar syndrome, is a rare phenomenon caused by compression of the celiac trunk by the median arcuate ligament (MAL) [1]. The MAL is an arch-like tendinous fascial band that joins the right and left diaphragmatic crura.

  3. Median Arcuate Ligament Syndrome: Management and Literature Review

    Pain, nausea, vomiting, weight loss, diarrhea, and fatigue are common symptoms of several upper gastroenterological illnesses. However, the presence of unexplained recurring postprandial abdominal pain and vomiting increases the possibility of median arcuate ligament syndrome (MALS). MALS is an uncommon illness characterized by postprandial ...

  4. Median Arcuate Ligament Syndrome

    Median arcuate ligament syndrome (MALS) was first described in 1963 and occurs when the celiac artery (CA) is compressed by the median arcuate ligament (MAL) [1]. This condition is seen on ...

  5. Median Arcuate Ligament Syndrome: A Case Report

    Median arcuate ligament syndrome (also known as Dunbar syndrome or celiac artery compression syndrome) was first described by Harjola in 1963. 1 A patient who presented with postprandial abdominal pain and an epigastric bruit was found to have his celiac artery encased with thick ganglionic tissue at the time of surgery.

  6. PDF Median Arcuate Ligament Syndrome: Management and Literature Review

    Median Arcuate Ligament Syndrome: Management and Literature Review Okelue E. Okobi , Belinda A. Afuda , Maureen Boms , Chinwendum U. Ekpemiro , Nneka J. Umeh , ... Open Access Case Report DOI: 10.7759/cureus.28889 How to cite this article Okobi O E, Afuda B A, Boms M, et al. (September 07, 2022) Median Arcuate Ligament Syndrome: Management and ...

  7. Median Arcuate Ligament Syndrome

    OBJECTIVE To report a case of MALS and to review current literature. METHODS The authors report a clinical case and present a literature review using PubMed with the terms "median arcuate ligament", "Dunbar syndrome" and "MALS treatment" as major topics. The bibliography of relevant articles has been checked to identify other significant papers.

  8. Median arcuate ligament syndrome: A case report of a rare disease

    Introduction: Median arcuate ligament syndrome (MALS) is a rare condition caused by the compression of the celiac trunk by the median arcuate ligament, which may trigger a typical symptom triad: postprandial abdominal pain, weight loss, nausea and vomiting. Clinical case: A 58-year-old male was admitted to the emergency department due to abdominal pain, vomiting, fever and diarrhea.

  9. Median arcuate ligament syndrome: A case report of a rare disease

    DOI: 10.1016/j.ijscr.2021.106686 Corpus ID: 245373493; Median arcuate ligament syndrome: A case report of a rare disease @article{Almeida2021MedianAL, title={Median arcuate ligament syndrome: A case report of a rare disease}, author={Joana Isabel Almeida and Margarida Nunes Coelho and Isabel Armas and Carlos Soares and Tatiana Ferreira dos Santos and Carla Freitas}, journal={International ...

  10. Median arcuate ligament syndrome: a case report

    Case report: An abdominal ultrasound in a 22-year-old woman with longstanding abdominal pain after eating showed elevated celiac artery velocities of >300 cm/s upon inspiration. Computed tomography angiography of the abdomen showed stenosis of the origin of the celiac artery and confirmed the diagnosis of median arcuate ligament syndrome ...

  11. Management of median arcuate ligament syndrome: a case-based review

    This brief report aims to present a case report of a successful treatment of Dunbar syndrome and to review the current management of this entity. We present the case of a 37 year-old patient, who was treated by median arcuate ligament laparoscopic resection. The median arcuate ligament syndrome is associated with significant morbidity.

  12. Overview of Median Arcuate Ligament Syndrome: A Narrative Review

    Introduction and background. Median arcuate ligament syndrome (MALS) is a rare disorder that affects approximately 2 per 100,000 people [].It is believed to be caused by the constriction of the celiac artery and the celiac plexus by the median arcuate ligament (MAL) [].The MAL serves to connect the right and left crura of the diaphragm and is typically found at the level of either the twelfth ...

  13. Median arcuate ligament syndrome: A case report of a rare disease

    Clinical report. 1. Introduction. Median arcuate ligament syndrome (MALS), also known as celiac artery compression syndrome or Dunbar syndrome, is a rare phenomenon caused by compression of the celiac trunk by the median arcuate ligament (MAL) [1]. The MAL is an arch-like tendinous fascial band that joins the right and left diaphragmatic crura.

  14. Median Arcuate Ligament Syndrome

    To report a case of MALS and to review current literature. Methods The authors report a clinical case and present a literature review using PubMed with the terms "median arcuate ligament", "Dunbar syndrome" and "MALS treatment" as major topics. The bibliography of relevant articles has been checked to identify other significant papers. Results

  15. I saw the "hook" sign of median arcuate ligament syndrome

    Ultimately, the diagnosis is best supported by the resolution of symptoms once treatment has been performed to alleviate the compression by the median arcuate ligament. 3. In conclusion: In conclusion, when you see the "hook" sign, stop and consider whether the patient may have median arcuate ligament syndrome.

  16. Median Arcuate Ligament Syndrome of Diaphragm

    Methods: Case report and literature review using PubMed with the terms "median arcuate ligament", "Dunbar syndrome" and "MALS treatment" as major topics. The bibliography of relevant articles has been checked to identify other significant papers. Results: Median arcuate ligament syndrome (MALS) or Dunbar syndrome is a rare clinical entity ...

  17. Median Arcuate Ligament Syndrome Presenting As Chest Pain

    INTRODUCTION: Median Arcuate Ligament Syndrome (MALS) is a rare disease resulting from compression of the celiac trunk and celiac ganglia by median arcuate ligament, which is a fibrous arch formed by the right and left diaphragmatic crura. Usual symptoms of MALS include epigastric pain, post-prandial pain, nausea, vomiting and weight loss. We present a case of MALS presenting with angina-like ...

  18. Median Arcuate Ligament Syndrome: A Case Report

    Median arcuate ligament syndrome is a clinical condition in which the cause of gastrointestinal symptoms is thought to be compression of the coeliac trunk by the median arcuate ligament. We report ...

  19. Median arcuate ligament syndrome: a case report.

    Median arcuate ligament syndrome (also known as Dunbar syndrome or celiac artery compression syndrome) was first described by Harjola in 1963. 1 A patient who presented with postprandial abdominal pain and an epigastric bruit was found to have his celiac artery encased with thick ganglionic tissue at the time of surgery. The patient experienced ...

  20. Surgical Treatment of Median Arcuate Ligament Syndrome: Case Report and

    The median arcuate ligament compression syndrome is a rare entity that occurs in 2 per 100,000 unselected individuals. We present a case where the median arcuate ligament compression syndrome was ...

  21. [PDF] Pancreaticoduodenectomy after postoperative gastric tube

    An extremely rare case of PD is reported in a patient with pancreatic head cancer and median arcuate ligament syndrome after gastric tube reconstruction following esophageal cancer surgery, in which the entire pancreatic head arcade was preserved. Background Pancreaticoduodenectomy (PD) is considered a challenging surgery for resecting the gastroduodenal artery (GDA), right gastric artery (RGA ...

  22. Surgical treatment of median arcuate ligament syndrome: case report and

    Introduction: Median arcuate ligament (MAL) syndrome, also called celiac trunk compression syndrome (CACS) or Dunbar syndrome is a rare disorder caused by compression of the celiac artery by median arcuate ligament of the diaphragm, which leads to mesenteric ischemia and chronic abdominal angina. The typical clinical triad of symptoms includes postprandial epigastric pain, weight loss and ...

  23. Median arcuate ligament syndrome (Dunbar syndrome)

    A case of median arcuate ligament syndrome in a thin middle aged woman with chronic post-prandial epigastric pain for over 5 years and normal overall test results including fibrogastroscopy. Dunbar syndrome also known as Harjola-Marable syndrome refers to stenosis of the celiac artery origin due to external compression by the diaphragmatic crura.

  24. Median arcuate ligament syndrome often poses a diagnostic challenge: A

    Core Tip: Due to its rarity, reviews, meta-analyses, and guidelines regarding median arcuate ligament syndrome (MALS) are rare. Most data can be extracted by individual case reports and case series. Even though MALS has a low frequency among the general population, more and more studies continue to support the claim that an increasing percentage of people may be prone to present ...

  25. New perspective on median arcuate ligament syndrome. Case reports

    On angiography, CT and MRI, 10-24% of examined patients are found to have their coeliac trunk compressed by the median arcuate ligament of the diaphragm. The associated median arcuate ligament syndrome, which is also called coeliac trunk compression syndrome or Dunbar syndrome, is rarely fully symptomatic. It is estimated that there are up to ...

  26. Median Arcuate Ligament Syndrome: Management and Literature Review

    MALS is an uncommon illness characterized by postprandial vomiting, abdominal pain, and weight loss. The compression of the median arcuate ligament on the celiac trunk and/or its surrounding celiac nerve plexus may explain this disease phenomenon. Comprehensive workup for other etiologies may be unrevealing except for the compression of the ...

  27. Gastrointestinal: Rupture of a ...

    (c) Upon conducting abdominal angiography, an aneurysm was identified in the arcade of the anterior superior pancreaticoduodenal artery (yellow arrowhead). (d) In retrospect, the pre-procedural CT revealed a focal narrowing of the proximal celiac artery (yellow arrowhead) due to median arcuate ligament syndrome.

  28. I saw the "hook" sign of median arcuate ligament syndrome

    The hook sign is a radiologic finding best appreciated on a sagittal view of the celiac artery with computed tomography (CT) that indicates compression of the celiac artery. It refers to the hooked-shape of the proximal celiac artery caused by extrinsic compression by the median arcuate ligament. When seen in a patient with concurrent abdominal symptoms, it suggests median arcuate ligament ...