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 UNUSUAL CASE
Year : 2012  |  Volume : 8  |  Issue : 1  |  Page : 16-18

Laparoscopic release of median arcuate ligament


Department of Minimally Invasive Surgery, The Institute for Special Surgery, Joy Hospital, Chembur, Mumbai, India

Correspondence Address:
Roy Patankar
Institute for Special Surgery, Joy Hospital Pvt. Ltd., 423 AB, 10th Road, Chembur, Mumbai
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0972-9941.91775

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Median arcuate ligament (MAL) syndrome, also known as the celiac axis compression syndrome, is rare. It is a diagnosis of exclusion, characterised by the clinical triad of postprandial abdominal pain, weight loss and vomiting. Computed tomographic angiography is the gold standard for making the diagnosis of MAL and colour Doppler is essential to confirm the diagnosis. The classic management involves the surgical division of the MAL fibres. We report successful management of two patients diagnosed as MAL syndrome and treated by laparoscopic release of the MAL.






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Published by Wolters Kluwer - Medknow
Online since 15th August '04