Abstract
The median arcuate ligament can compress the proximal portion of the celiac artery causing symptoms of chronic mesenteric ischemia. This rare condition typically affects young women and often poses a diagnostic challenge. Compression of the superior mesenteric artery (SMA) in addition to the celiac artery represents an unusual variant of median arcuate ligament syndrome (MALS). We present a case of MALS resulting predominantly from external compression of the SMA. Diagnostic and therapeutic options are discussed.
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References
1.
Horton KM
,
Talamini MA
,
Fishman EK
Median arcuate ligament syndrome: evaluation with CT angiography . Radiographics . 2005 ;25 (5 ):1177 -1182 .
2.
Curl JH
,
Thompson NW
,
Stanley JC
Median arcuate ligament compression of the celiac and superior mesenteric arteries . Ann Surg . 1971 ;173 (2 ):314 -320 .
3.
Reilly LM
,
Ammar AD
,
Stoney RJ
,
Ehrenfeld WK
Late results following operative repair for celiac artery compression syndrome . J Vasc Surg . 1985 ;2 (1 ):79 -91 .
4.
Van Petersen AS
,
Vriens BH
,
Huisman AB
,
Kolkman JJ
,
Geelkerken RH
Retroperitoneal endoscopic release in the management of celiac artery compression syndrome . J Vasc Surg.
2009 ;50 (1 ):140 -147 .
5.
Roseborough GS
Laparoscopic management of celiac artery compression syndrome . J Vasc Surg.
2009 ;50 (1 ):124 -133 .