Annals of the Royal College of Surgeons of England
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Ann R Coll Surg Engl · Sep 2015
Review Case ReportsLaparoscopic decompression as treatment for median arcuate ligament syndrome.
Median arcuate ligament syndrome (MALS) is a rare disorder due to coeliac trunk compression by the median arcuate ligament, resulting in coeliac artery stenosis characterised by chronic, recurrent abdominal pain. Patients with MALS are often middle-aged females presenting with a triad of postprandial epigastric pain, weight loss and abdominal bruit. ⋯ Laparoscopic or open surgical decompression are the only treatment options in MALS. We present two cases of MALS treated by laparoscopic decompression as well as a literature review on this treatment.