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2013, Number 4

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Rev Mex Cir Endoscop 2013; 14 (4)

Laparoscopic release of median arcuate ligament

Ramírez AEM, Montero VK, Ruiz-GalindoGH, Guerrero HM, Alvarado BR

Language: Spanish
References: 12
Page: 192-195
PDF size: 204.28 Kb.


ABSTRACT

Background: Celiac axis compression syndrome by the median arcuate ligament is a rare condition characterized by the triad of postprandial abdominal pain, weight loss and abdominal murmur occasionally, in 83% of cases. Angiography is the gold standard for diagnosis. The median arcuate ligament release is the cornerstone for treatment. Laparoscopic surgery is considered the technique of choice. Case report:Female 13 years old with abdominal pain of three years of evolution, localized in epigastrium and mesogastrium, intermittent, with postprandial exacerbation, nausea, weight loss of 5 kg in three months. Physical examination with nontender epigastrium and mesogastrium. Laboratories unaltered. Ultrasound of abdomen and hepatobiliary scintigraphy with normal report. Computed tomography of the abdomen and pelvis with intravenous contrast with reduced celiac trunk caliber greater than 50%, angiography confirmed the diagnosis. Median arcuate ligament release was performed without complications with laparoscopic technique. Conclusion: Median arcuate ligament syndrome represents a diagnostic and therapeutic challenge. Patients with this condition must undergo surgical decompression, it can be performed laparoscopically.


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