Supradiaphragmatic origin of the celiac trunk leading to median arcuate ligament syndrome with superior mesenteric artery involvement

Median arcuate ligament (MAL) syndrome (MALS) is a rare condition caused by compression of the celiac artery by the MAL. Symptoms include abdominal pain, nausea, and weight loss. Rarely, the MAL can compress both the celiac artery and the superior mesenteric artery (SMA). We describe the case of a y...

Full description

Bibliographic Details
Published in:	Journal of Vascular Surgery Cases and Innovative Techniques
Main Authors:	Martina Rama, BS, Wissam Nasser, MD, Prashanth Palvannan, MD, Sara Belko, MS, Paul DiMuzio, MD, FACS, Francesco Palazzo, MD, FACS
Format:	Article
Language:	English
Published:	Elsevier 2024-02-01
Subjects:	Dunbar syndrome MAL MALS Median arcuate ligament Median arcuate ligament syndrome Supradiaphragmatic celiac trunk
Online Access:	http://www.sciencedirect.com/science/article/pii/S2468428723002241

Similar Items

Retroperitoneal approach for redo median arcuate ligament release
by: Matthew Fastiggi, et al.
Published: (2025-03-01)

Trans-Esophageal Echocardiography of the Descending Aorta and Celiac Trunk as an Intraoperative Monitoring for Median Arcuate Ligament Syndrome (MALS) Treatment: Technique Proposal and Two Case Reports
by: Marta Lubian, et al.
Published: (2023-01-01)

Laparoscopic median arcuate ligament section for median arcuate ligament compression syndrome initially detected as splenic infarction: a case report
by: Toru Takagi, et al.
Published: (2024-02-01)

Lessons learned from a case of multivessel median arcuate ligament syndrome in the setting of an Arc of Buhler
by: Kevin O'Brien, M.D, et al.
Published: (2016-09-01)

A novel hybrid approach to treatment of multiple mesenteric aneurysms in a patient with celiac artery occlusion from Suspected chronic median arcuate ligament syndrome
by: Prashanth S. Iyer, MD, et al.
Published: (2025-06-01)

Two cases of pancreaticoduodenal aneurysm with median arcuate ligament syndrome treated with coil embolization and median arcuate ligament incision
by: Yoshiki Endo, MD, et al.
Published: (2022-10-01)

In Focus: Clinical Imaging of the Median Arcuate Ligament through Cadaveric Exploration
by: Ayman Behiery, et al.
Published: (2024-03-01)

Celiac plexus block as a diagnostic tool in suspected pediatric median arcuate ligament syndrome
by: Selvaraj BJ, et al.
Published: (2019-02-01)

Celiac artery occlusion from median arcuate ligament compression complicating a hemorrhagic duodenal ulcer repair
by: Anthony N. Rizzo, DO, et al.
Published: (2024-02-01)

Laparoscopic median arcuate ligament release using an anterior approach for median arcuate ligament syndrome
by: Koji Kubota, et al.
Published: (2024-11-01)

Laparoscopic treatment for celiac artery stenosis caused by median arcuate ligament compression with Adachi V type vascular anomaly: a case report
by: Hiroshi Saito, et al.
Published: (2021-06-01)

Hybrid (laparoscopy + stent) treatment of celiac trunk compression syndrome (Dunbar syndrome, median arcuate ligament syndrome (MALS))
by: Maciej Michalik, et al.
Published: (2016-12-01)

Management of median arcuate ligament syndrome
by: Mohit K. Manchella, BS, et al.
Published: (2025-08-01)

Dunbar (or median arcuate ligament) syndrome: A case series
by: Praveen K Sharma, et al.
Published: (2022-01-01)

Open vascular treatment of median arcuate ligament syndrome
by: Mansur Duran, et al.
Published: (2017-08-01)

Median arcuate ligament syndrome in an old male: a case report with occlusion of celiac artery after stenting
by: Qiang Hu, et al.
Published: (2025-04-01)

A rare case of median arcuate ligament syndrome presenting with chronic abdominal pain managed surgically: A case report
by: Md. Deluwar Hussen, MBBS, et al.
Published: (2025-07-01)

Laparoscopic management of median arcuate ligament syndrome: a video vignette
by: Santhosh Anand, et al.
Published: (2024-03-01)

A case of laparoscopic distal gastrectomy and median arcuate ligament release for a gastric cancer patient with median arcuate ligament syndrome
by: Sho Ueda, et al.
Published: (2022-08-01)

Safe laparoscopic surgery in median arcuate ligament syndrome
by: Ulaş Aday, et al.
Published: (2018-06-01)

MDCT Evaluation of Celiac Axis Compression Syndrome- A Rare Case Series
by: D Naveen, et al.
Published: (2022-11-01)

Superior mesenteric aneurysm associated with median arcuate ligament syndrome and a single celiacomesenteric trunk
by: Drew J. Braet, MD, et al.
Published: (2023-12-01)

The laparoscopic approach in the median arcuate ligament syndrome: report of a case.
by: A Siani, et al.
Published: (2007-06-01)

Laparoscopic Treatment of Median Arcuat Ligament Syndrome: A Case Report
by: Hakan Yabanoğlu, et al.
Published: (2019-07-01)

The benefits of extrinsic ligament release for potentially hemodynamically unstable pancreaticoduodenal arcade aneurysm with median arcuate ligament syndrome: a case report
by: Takero Terayama, et al.
Published: (2019-05-01)

Laparoscopic repair of iatrogenic celiac artery injury during median arcuate ligament release: A retrospection and tips at troubleshooting
by: Ganesh Shenoy, et al.
Published: (2024-08-01)

Median Arcuate Ligament Syndrome Involving a Celio-Mesenteric Trunk-a Lesson Learnt
by: Uddalok Das
Published: (2024-09-01)

Median arcuate ligament syndrome diagnosis on Computed Tomography: what a radiologist needs to know
by: Pooja Narwani, MD, DNB, FRCR, et al.
Published: (2021-11-01)

Practice-Based Management Data of Consecutive Subjects Assessed for the Median Arcuate Ligament Syndrome at a Single Tertiary Institution
by: Stephanie Zbinden, et al.
Published: (2024-09-01)

Median arcuate ligament syndrome treated by laparoscopy after a failed balloon angioplasty: A case report
by: Ke Yang, et al.
Published: (2023-03-01)

Major vascular and pancreatic penetrating trauma in patient with pre-existing MALS
by: Hans Christian Rolff, et al.
Published: (2023-02-01)

Systematic hybrid laparoscopic and endovascular treatment of median arcuate ligament syndrome: A single-center experience
by: Michael Schneider, et al.
Published: (2023-04-01)

Laparoscopic treatment in a patient with median arcuate ligament syndrome identified at the onset of superior mesenteric artery dissection: a case report
by: Haruhiko Okada, et al.
Published: (2019-12-01)

Standardized approach to median arcuate ligament syndrome and laparoscopic release: A case series
by: Aneetinder Mann, et al.
Published: (2022-09-01)

Laparoscopic Surgery for Median Arcuate Ligament Syndrome (MALS): A Prospective Cohort of 52 Patients
by: Kazmi SSH, et al.
Published: (2022-03-01)

Robotic median arcuate ligament release: a video vignette
by: Marie-Thérèse Maréchal, et al.
Published: (2024-09-01)

Angioplasty in the treatment of median arcuate ligament compression syndrome combined with splenic aneurysm: A case report
by: Sai Xiang, et al.
Published: (2024-12-01)

Laparoscopic Management of Median Arcuate Ligament Syndrome: A Case Report
by: Pratap Kumar Shinde, et al.
Published: (2023-09-01)

Pancreatoduodenectomy co-morbid with celiac axis compression syndrome: a report of three cases
by: Katsuki Miyazaki, et al.
Published: (2020-05-01)

Laparoscopic treatment for median arcuate ligament syndrome in children: A case report
by: Trinh-Nguyen Ha Vi, MD, et al.
Published: (2024-05-01)