Open AccessLaparoscopic release of median arcuate ligament
Author(s) -
Sachin Wani,
Vineet Wakde,
Rakesh Patel,
Roy Patankar,
Suraj 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 , computed tomographic angiography , 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.