Median arcuate ligament syndrome (MALS) is an often discounted and vexing condition that may go unnoticed in a population of patients with complex comorbid conditions or those with poor psychiatric health. We report a unique case of a patient with anorexia nervosa in whom the successful operation for MALS was briefly complicated by a postoperative conversion disorder.
TullochAWJimenezJCLawrencePF, et al.Laparoscopic versus open celiac ganglionectomy in patients with median arcuate ligament syndrome. J Vasc Surg. 2010;52(5):1283–1289.
2.
JimenezJCLockeMHDutsonEP. Open and laparoscopic treatment of median arcuate ligament syndrome. J Vasc Surg. 2012;56(3):869–873.
3.
MakGZSpeakerCAndersonK, et al.Median arcuate ligament syndrome in the pediatric population. J Pediatr Surg. 2013;48(11):2261–2270.
4.
PatelMVDalagLWeinerASkellyCLorenzJ. Inability of conventional imaging findings to predict response to laparoscopic release of the median arcuate ligament in patients with celiac artery compression. J Vasc Surg. 2019;69(2):462–469.
5.
SkellyCLShieldsCSMakGZ, et al.The impact of psychiatric comorbidities on patient-reported surgical outcomes in adults treated for the median arcuate ligament syndrome. J Vasc Surg. 2018;68(5):1414–1421.
6.
HoKKFWalkerPSmithersBM, et al.Outcome predictors in median arcuate ligament syndrome. J Vasc Surg. 2017;65(6):1745–1752.
7.
ReillyLMAmmarADStoneyRJEhrenfeldWK. Late results following operative repair for celiac artery compression syndrome. J Vasc Surg. 1985;2(1):79–91.
8.
RoayaieSJossartGGitlitzDLamparelloPHollierLGagnerM. Laparoscopic release of celiac artery compression syndrome facilitated by laparoscopic ultrasound scanning to confirm restoration of flow. J Vasc Surg. 2000;32(4):814–817.
9.
BerardXCauJDégliseS, et al.Laparoscopic surgery for coeliac artery compression syndrome: current management and technical aspects. Eur J Vasc Endovasc Surg. 2012;43(1):38–42.
10.
HirjakDThomannPAWolfRCWeidnerNWilder SmithEP. Dissociative paraplegia after epidural anesthesia: a case report. J Med Case Rep. 2013;7(1):56.