Median arcuate ligament syndrome noticed during pancreaticoduodenectomy.
Sertac UstaKoray KarabulutHakan ArtaşPublished in: Turkish journal of surgery (2022)
Median arcuate ligament syndrome (MALS) occurs as a result of compression of the celiac artery by a fibrous band called the median ligament, which originates from the diaphragmatic crus. The prevalence of MALS has been reported as 10-24% among patients. The etiology is not clear. The components of the clinical triad are a chronic post-prandial pain, epigastric murmur and weight loss. Diagnosis is based on clinical and radiological findings. MALS has been reported in a small portion of patients undergoing pancreaticoduodenectomy. Most of the patients have been diagnosed prior to surgery.
Keyphrases
- patients undergoing
- weight loss
- end stage renal disease
- ejection fraction
- newly diagnosed
- minimally invasive
- chronic kidney disease
- chronic pain
- case report
- bariatric surgery
- prognostic factors
- coronary artery bypass
- peritoneal dialysis
- type diabetes
- pain management
- neuropathic pain
- spinal cord injury
- spinal cord
- coronary artery disease
- percutaneous coronary intervention
- patient reported
- drug induced