Laparoscopic management of celiac artery compression syndrome: A case report

Sharma, Sharad; Someshwar, Vimal; Ingale, Farah

doi:10.1016/j.ijscr.2020.09.157

Cited by 3 publications

(2 citation statements)

References 15 publications

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“…Ischemia can also be asymptomatic if the arterial blood supply is well-compensated by vascular shunts between the CA and the superior mesenteric artery (SMA) [5] . Although some authors associate the onset of pain with the ischemia, others attribute it to compression of the celiac plexus fibers and ganglia [6 , 7] .…”

Section: Introductionmentioning

confidence: 99%

A man with the rare simultaneous combination of three abdominal vascular compression syndromes: median arcuate ligament syndrome, superior mesenteric artery syndrome, and nutcracker syndrome

Farina¹,

Gozzo²,

Foti³

et al. 2021

Radiology Case Reports

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Median arcuate ligament syndrome and superior mesenteric artery syndrome are well-known abdominal compression syndromes, the coexistence of which is rarely described in literature. In addition, due to the common pathogenesis, anterior nutcracker syndrome may occur simultaneously to superior mesenteric artery syndrome. To our knowledge, this is the first case reporting combination of these 3 syndromes detected with ultrasound, Computed Tomography and upper gastrointestinal fluoroscopic exam. A 69-year-old man came to our attention for rapid weight loss, postprandial epigastric pain and recurrent vomiting for at least 6 months. Doppler ultrasound showed both celiac artery and left renal vein stenosis with simultaneous left varicocele. Computed tomography showed a reduction of aortomesenteric space causing both left renal vein and duodenal stenosis, this latter confirmed by upper gastrointestinal fluoroscopic exam. The diagnosis of these three vascular compression syndromes (MALS, SMAS, and anterior NCS) has been formulated, based on clinical and imaging findings. We assumed that the postprandial crises caused by median arcuate ligament syndrome may induce a reduction of meals consumption and progressive weight loss which can be a cause of anterior nutcracker syndrome and superior mesenteric artery syndrome onset. Doppler ultrasound, in expert hands, allows to accurately diagnosing these syndromes which are often underestimated. Failure to recognize it and inadequate treatment could have serious consequences for patients' health.

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Section: Introductionmentioning

confidence: 99%

A man with the rare simultaneous combination of three abdominal vascular compression syndromes: median arcuate ligament syndrome, superior mesenteric artery syndrome, and nutcracker syndrome

Farina¹,

Gozzo²,

Foti³

et al. 2021

Radiology Case Reports

View full text Add to dashboard Cite

show abstract

“…Compression results from either a low insertion of the diaphragmatic fibers or a high origin of the celiac artery resulting in compression of the celiac ganglion and its associated fibers. 1 However, not all patients with this anatomic compression are symptomatic. The median arcuate ligament is a band of fibrous tissue that passes over the aorta, essentially providing a “tunnel” as the aorta passes through the diaphragm ( Figure 1 ).…”

Section: Introductionmentioning

confidence: 99%

Another Sherlock Holmes Mystery: Abdominal Pain Explained by Median Arcuate Ligament Syndrome

Ortega

Memon

Trivedi

et al. 2022

Journal of Investigative Medicine High Impact Case Reports

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Median arcuate ligament syndrome (MALS), also known as celiac artery compression syndrome, is a rare gastrointestinal condition with an estimated incidence of 2 per 100 000 population. Predominantly in female patients, this syndrome is characterized by the compression of the celiac artery at its origin from the aorta by the median arcuate ligament, which at the same time is entrapping the celiac plexus, causing upper abdominal pain, notably postprandial pain, as well as nausea, vomiting, food aversion, and weight loss. We present a case of abdominal pain secondary to MALS that was appropriately diagnosed after requiring narcotic medication, which responded to surgical therapy.

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Clinico-pathologic findings in patients with median arcuate ligament syndrome (celiac artery compression syndrome)

Chaum

Shouhed

Kim

et al. 2021

Annals of Diagnostic Pathology

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Laparoscopic management of celiac artery compression syndrome: A case report

Cited by 3 publications

References 15 publications

A man with the rare simultaneous combination of three abdominal vascular compression syndromes: median arcuate ligament syndrome, superior mesenteric artery syndrome, and nutcracker syndrome

A man with the rare simultaneous combination of three abdominal vascular compression syndromes: median arcuate ligament syndrome, superior mesenteric artery syndrome, and nutcracker syndrome

Another Sherlock Holmes Mystery: Abdominal Pain Explained by Median Arcuate Ligament Syndrome

Clinico-pathologic findings in patients with median arcuate ligament syndrome (celiac artery compression syndrome)

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