Laparoscopic management of the median arcuate ligament syndrome

Tam Nguyen; Michael Neale; Rodney Lane; Vivienne Schiavone; Jaswinder S. Samra; Thomas J. Hugh

doi:10.1111/j.1445-2197.2011.05966.x

Laparoscopic management of the median arcuate ligament syndrome

Tam Nguyen, Michael Neale, Rodney Lane, Vivienne Schiavone, Jaswinder S. Samra, Thomas J. Hugh^*

^*Corresponding author for this work

Research output: Contribution to journal › Article › peer-review

8 Citations (Scopus)

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.

Original language	English
Pages (from-to)	265-268
Number of pages	4
Journal	ANZ Journal of Surgery
Volume	82
Issue number	4
DOIs	https://doi.org/10.1111/j.1445-2197.2011.05966.x
Publication status	Published - Apr 2012
Externally published	Yes

Keywords

Abdominal pain
Laparoscopy
Median arcuate ligament
Upper GI
Vascular surgery.

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10.1111/j.1445-2197.2011.05966.x

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title = "Laparoscopic management of the median arcuate ligament syndrome",

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.",

keywords = "Abdominal pain, Laparoscopy, Median arcuate ligament, Upper GI, Vascular surgery.",

author = "Tam Nguyen and Michael Neale and Rodney Lane and Vivienne Schiavone and Samra, {Jaswinder S.} and Hugh, {Thomas J.}",

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AU - Nguyen, Tam

AU - Neale, Michael

AU - Lane, Rodney

AU - Schiavone, Vivienne

AU - Samra, Jaswinder S.

AU - Hugh, Thomas J.

PY - 2012/4

Y1 - 2012/4

N2 - 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.

AB - 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.

KW - Abdominal pain

KW - Laparoscopy

KW - Median arcuate ligament

KW - Upper GI

KW - Vascular surgery.

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JO - Australian and New Zealand Journal of Surgery

JF - Australian and New Zealand Journal of Surgery

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Laparoscopic management of the median arcuate ligament syndrome

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Keywords

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