Laparoscopic release of median arcuate ligament | Zendy

Roy Patankar | Zendy; Sachin Wani | Zendy; Vineet Wakde | Zendy; Rakesh Patel | Zendy; SK Mathur | Zendy

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Laparoscopic release of median arcuate ligament

Author(s) -

Roy Patankar,

Sachin Wani,

Vineet Wakde,

Rakesh Patel,

SK Mathur

Publication year - 2012

Publication title -

journal of minimal access surgery

Language(s) - English

Resource type - Journals

eISSN - 0972-9941

pISSN - 1998-3921

DOI - 10.4103/0972-9941.91775

Subject(s) - medicine , surgery , vomiting , abdominal pain , ligament , gold standard (test) , computed tomographic angiography , computed tomographic , radiology , angiography , computed tomography

Median arcuate ligament (MAL) syndrome, also known as the celiac axis compression syndrome, is rare. It is a diagnosis of exclusion, characterised by the clinical triad of postprandial abdominal pain, weight loss and vomiting. Computed tomographic angiography is the gold standard for making the diagnosis of MAL and colour Doppler is essential to confirm the diagnosis. The classic management involves the surgical division of the MAL fibres. We report successful management of two patients diagnosed as MAL syndrome and treated by laparoscopic release of the MAL.

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