Median arcuate ligament syndrome complicated with gallbladder stones:A case report  

作　　者：Jun-Qiang Dang Qing-Qiang Wang Yan-Ling Yang Lin Shang Qi-Tian Bian Hong-Jun Xiang 

机构地区：[1]Department of Hepatobiliary Surgery,Xi’an Daxing Hospital,Xi’an 710016,Shaanxi Province,China [2]Department of Hepatobiliary and Pancreatic Surgery,Xijing Hospital,Air Force Medical University,Xi’an 710032,Shaanxi Province,China

出　　处：《World Journal of Clinical Cases》2023年第32期7881-7887,共7页世界临床病例杂志

摘　　要：BACKGROUND Median arcuate ligament syndrome(MALS)is a rare disease caused by compression of the celiac trunk artery by the median arcuate ligament(MAL).It can cause symptoms of postprandial abdominal pain,weight loss,and nausea and vomiting.CASE SUMMARY A 55-year-old woman was admitted due to abdominal pain,nausea and vomiting.On admission,the patient presented with epigastric pain that worsened after eating,without signs of peritoneal irritation.Computed tomography angiography of the upper abdomen showed compression of the proximal segment of the abdominal trunk,local luminal stenosis with angular“fishhook”changes,which changed significantly during forceful inspiration and expiration;gallbladder stones;and multiple cysts in the liver.Abdominal duplex ultrasonography showed that peak systolic velocity was 352 cm/s.After diagnosis of MALS was confirmed,an arch ligament release procedure was performed.MALS has no specific symptoms and can be misdiagnosed as other abdominal diseases.Awareness of MALS should be improved to avoid misdiagnosis.The commonly used treatment option is MAL release and resection of the peripheral ganglion of the celiac trunk artery.CONCLUSION The diagnosis and treatment of MALS must be individualized,and MAL release is effective and provides immediate symptomatic relief.

关 键 词：Median arcuate ligament syndrome Celiac artery compression syndrome Operative decompression Case report 

分 类 号：R656[医药卫生—外科学]