Laparoscopic treatment for median arcuate ligament syndrome in children: A case report

In median arcuate ligament syndrome (MALS), the median arcuate ligament compresses the celiac trunk and surrounding nerves leading to chronic functional abdominal pain and vague gastrointestinal symptoms. MALS can be effectively treated by dividing the arcuate ligament through open surgery or laparo...

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Main Authors: Trinh-Nguyen Ha Vi, MD, Tran Thanh Tri, MD, PhD, Ho Phi Duy, MD, Phan Tuan Kiet, MD, Nguyen Manh Cuong, MD, Ho Xuan Tuan, MD, PhD, Nguyen Minh Duc, MD
Format: Article
Language:English
Published: Elsevier 2024-05-01
Series:Radiology Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1930043324001237
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author Trinh-Nguyen Ha Vi, MD
Tran Thanh Tri, MD, PhD
Ho Phi Duy, MD
Phan Tuan Kiet, MD
Nguyen Manh Cuong, MD
Ho Xuan Tuan, MD, PhD
Nguyen Minh Duc, MD
author_facet Trinh-Nguyen Ha Vi, MD
Tran Thanh Tri, MD, PhD
Ho Phi Duy, MD
Phan Tuan Kiet, MD
Nguyen Manh Cuong, MD
Ho Xuan Tuan, MD, PhD
Nguyen Minh Duc, MD
author_sort Trinh-Nguyen Ha Vi, MD
collection DOAJ
description In median arcuate ligament syndrome (MALS), the median arcuate ligament compresses the celiac trunk and surrounding nerves leading to chronic functional abdominal pain and vague gastrointestinal symptoms. MALS can be effectively treated by dividing the arcuate ligament through open surgery or laparoscopy. This is a rare vascular condition and mostly encountered in adult patients. We hereby report a case of a pediatric patient diagnosed with MALS and treated successfully by laparoscopic approach. An 11-year-old girl presented with severe abdominal cramps for 3 months, accompanied by nonbilious vomiting. Computed tomography (CT) angiography demonstrated clear images of celiac trunk compression suggesting MALS. Laparoscopic surgery to cut the ligament and decompress the celiac artery was performed. The patient was discharged on day 7 postoperative with no recurrence of symptoms after 12 months of follow-up. This report suggested the diagnostic value of CT scan, and the safety and the feasibility of laparoscopic surgical techniques to treat MALS in children.
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spelling doaj.art-85b55f4d5f22485584185fa0ac12d3982024-03-10T05:11:58ZengElsevierRadiology Case Reports1930-04332024-05-0119520042007Laparoscopic treatment for median arcuate ligament syndrome in children: A case reportTrinh-Nguyen Ha Vi, MD0Tran Thanh Tri, MD, PhD1Ho Phi Duy, MD2Phan Tuan Kiet, MD3Nguyen Manh Cuong, MD4Ho Xuan Tuan, MD, PhD5Nguyen Minh Duc, MD6Department of Pediatric Surgery, University of Medicine and Pharmacy at Ho Chi Minh City, VietnamDepartment of Hepato-Pancreato-Biliary Diseases and Liver Transplantation, Children's Hospital 2, Ho Chi Minh City, VietnamDepartment of Hepato-Pancreato-Biliary Diseases and Liver Transplantation, Children's Hospital 2, Ho Chi Minh City, VietnamDepartment of Hepato-Pancreato-Biliary Diseases and Liver Transplantation, Children's Hospital 2, Ho Chi Minh City, VietnamDepartment of Pediatrics, Vietnam Military Medical University, Hanoi, VietnamDepartment of Medical Imaging, Da Nang University of Medical Technology and Pharmacy, VietnamDepartment of Radiology, Pham Ngoc Thach University of Medicine, Ho Chi Minh City, Vietnam; Corresponding author.In median arcuate ligament syndrome (MALS), the median arcuate ligament compresses the celiac trunk and surrounding nerves leading to chronic functional abdominal pain and vague gastrointestinal symptoms. MALS can be effectively treated by dividing the arcuate ligament through open surgery or laparoscopy. This is a rare vascular condition and mostly encountered in adult patients. We hereby report a case of a pediatric patient diagnosed with MALS and treated successfully by laparoscopic approach. An 11-year-old girl presented with severe abdominal cramps for 3 months, accompanied by nonbilious vomiting. Computed tomography (CT) angiography demonstrated clear images of celiac trunk compression suggesting MALS. Laparoscopic surgery to cut the ligament and decompress the celiac artery was performed. The patient was discharged on day 7 postoperative with no recurrence of symptoms after 12 months of follow-up. This report suggested the diagnostic value of CT scan, and the safety and the feasibility of laparoscopic surgical techniques to treat MALS in children.http://www.sciencedirect.com/science/article/pii/S1930043324001237Median arcuate ligament syndromeCeliac trunkChronic abdominal painLaparoscopyCase report
spellingShingle Trinh-Nguyen Ha Vi, MD
Tran Thanh Tri, MD, PhD
Ho Phi Duy, MD
Phan Tuan Kiet, MD
Nguyen Manh Cuong, MD
Ho Xuan Tuan, MD, PhD
Nguyen Minh Duc, MD
Laparoscopic treatment for median arcuate ligament syndrome in children: A case report
Radiology Case Reports
Median arcuate ligament syndrome
Celiac trunk
Chronic abdominal pain
Laparoscopy
Case report
title Laparoscopic treatment for median arcuate ligament syndrome in children: A case report
title_full Laparoscopic treatment for median arcuate ligament syndrome in children: A case report
title_fullStr Laparoscopic treatment for median arcuate ligament syndrome in children: A case report
title_full_unstemmed Laparoscopic treatment for median arcuate ligament syndrome in children: A case report
title_short Laparoscopic treatment for median arcuate ligament syndrome in children: A case report
title_sort laparoscopic treatment for median arcuate ligament syndrome in children a case report
topic Median arcuate ligament syndrome
Celiac trunk
Chronic abdominal pain
Laparoscopy
Case report
url http://www.sciencedirect.com/science/article/pii/S1930043324001237
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