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Revista Médica Sinergia

2019, Number 04

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Revista Médica Sinergia 2019; 4 (04)

Median arcuate ligament syndrome, a pathology to be taken into account

Cárdenas QMF, Rojas CS

Language: Spanish
References: 17
Page: 12-17
PDF size: 260.58 Kb.


ABSTRACT

Median arcuate ligaments syndrome (MALS) or celiac axis compression syndrome (CACS) is an uncommon condition caused by the external compression of the celiac trunk by the median arcuate ligament. This symptom involves abdominal pain, nausea, vomiting, and weight loss. Traditionally, the compression of the celiac trunk is usually seen on the sagittal view of a computerized tomography scan where it appears prominent on expiration; however, in severe cases, it may be shown as a persistent compression on inspiration.
Typically, the treatment of this syndrome is surgery such as a classic opening or a novel laparoscopic division of the median arcuate ligament to relieve the extrinsic compression Percutaneous endovascular treatment is an alternative technique and may be considered in selected cases, for which the traditional surgery failed or was a treatment option.


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