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Laparoscopic management of the median arcuate ligament syndrome
Article first published online: 16 FEB 2012
DOI: 10.1111/j.1445-2197.2011.05966.x
© 2012 The Authors. ANZ Journal of Surgery © 2012 Royal Australasian College of Surgeons
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How to Cite
Nguyen, T., Neale, M., Lane, R., Schiavone, V., Samra, J. S. and Hugh, T. J. (2012), Laparoscopic management of the median arcuate ligament syndrome. ANZ Journal of Surgery, 82: 265–268. doi: 10.1111/j.1445-2197.2011.05966.x
Publication History
- Issue published online: 21 MAR 2012
- Article first published online: 16 FEB 2012
- Accepted for publication 12 August 2011.
- Abstract
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Keywords:
- abdominal pain;
- laparoscopy;
- median arcuate ligament;
- upper GI;
- vascular surgery.
Abstract
Background: The median arcuate ligament syndrome (MALS) is an infrequent cause of abdominal pain. This diagnosis is made after exclusion of other more common causes of upper abdominal symptoms. Mesenteric duplex and a computerized tomography mesenteric angiography demonstrate dynamic compression of the coeliac axis during expiration.
Methods: Retrospective analysis of presenting symptoms, preoperative findings and postoperative outcomes.
Results: Five consecutive patients who underwent laparoscopic division of the median arcuate ligament over a 4-year period (2006–2010) are presented. This procedure was associated with low morbidity and complete relief of symptoms in all patients.
Conclusion: A minimally invasive procedure is the treatment of choice in selected patients with MALS.