Robotic approach to treat Median Arcuate Ligament syndrome: a case report.
Roberto BustosMichail PapamichailAlberto ManganoValentina VallePier Cristoforo GiulianottiPublished in: Journal of surgical case reports (2020)
The Median Arcuate Ligament (MAL) syndrome is the symptomatic compression of the celiac trunk by the MAL and other ganglionic periaortic tissue. Despite its rarity, this condition is significant from a clinical, diagnostic and management standpoint and it is usually a diagnosis of exclusion. A 61-year-old female with history of intermittent postprandial epigastric pain was diagnosed with MAL syndrome during CT scan imaging (no other causes of pain were identified). Patient successfully underwent robotic MAL release with symptoms improvement after surgery. The robotic approach is feasible and may allow a very precise and delicate dissection with release of the MAL.
Keyphrases
- case report
- chronic pain
- minimally invasive
- computed tomography
- pain management
- neuropathic pain
- robot assisted
- high resolution
- type diabetes
- magnetic resonance imaging
- dual energy
- skeletal muscle
- blood glucose
- blood pressure
- spinal cord
- high intensity
- adipose tissue
- spinal cord injury
- image quality
- depressive symptoms
- insulin resistance
- metabolic syndrome
- physical activity
- photodynamic therapy
- positron emission tomography
- fluorescence imaging