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Median arcuate ligament

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https://www.readbyqxmd.com/read/27896401/sleeve-gastrectomy-combined-with-the-simplified-hill-repair-in-the-treatment-of-morbid-obesity-and-gastro-esophageal-reflux-disease-preliminary-results-in-14-patients
#1
Daniel Gero, Lara Ribeiro-Parenti, Konstantinos Arapis, Jean-Pierre Marmuse
BACKGROUND: Our aim is to report our initial experience with a novel technique which addresses morbid obesity and gastro-esophageal reflux disease (GERD) simultaneously by combination of laparoscopic sleeve gastrectomy (LSG) and simplified laparoscopic Hill repair (sLHR). METHODS: Retrospective analysis of LSG+sLHR patients >5 months postoperatively includes demographics, GERD status, proton-pump inhibitor (PPI) use, body mass index (BMI), excess BMI loss (EBMIL), complications and GERD-Health Related Quality of Life (GERD-HRQL) questionnaire...
November 28, 2016: World Journal of Surgery
https://www.readbyqxmd.com/read/27890893/successful-coil-embolization-of-an-aneurysm-in-the-arc-of-b%C3%A3-hler
#2
Fumie Sugihara, Satoru Murata, Fumio Uchiyama, Jun Watari, Hiroto Tajima, Shin-Ichiro Kumita
In the present report, we describe a case of a patient with an asymptomatic aneurysm in the arc of Bühler (AOB), which was successfully treated by transcatheter arterial embolization. The patient presented with severe stenosis of the celiac trunk, which was suspected to be due to median arcuate ligament syndrome. Arteriography of the superior mesenteric artery indicated a rapid stream in an aneurysm in the AOB. Hence, embolization was carefully performed using detachable coils and microcoils. An arteriography performed after embolization did not show any aneurysm, and the hepatic artery and splenic artery could be detected via the pancreatic arcade, originating from the superior mesenteric artery...
2016: Journal of Nippon Medical School, Nippon Ika Daigaku Zasshi
https://www.readbyqxmd.com/read/27871496/the-presentation-and-management-of-aneurysms-of-the-pancreaticoduodenal-arcade
#3
Michael R Corey, Emel A Ergul, Richard P Cambria, Virendra I Patel, R Todd Lancaster, Christopher J Kwolek, Mark F Conrad
OBJECTIVE: Gastroduodenal artery aneurysms (GDAAs) and pancreaticoduodenal artery aneurysms (PDAAs) are uncommon lesions associated, however, with a significant risk of rupture. This study describes the clinical presentation, associated imaging findings, and operative strategies for these aneurysms. METHODS: The records of all patients with GDAAs or PDAAs identified through an institutional database by axial imaging between 1994 and 2014 were retrospectively reviewed...
December 2016: Journal of Vascular Surgery
https://www.readbyqxmd.com/read/27864611/perioperative-hemodynamic-monitoring-of-common-hepatic-artery-for-endovascular-embolization-of-a-pancreaticoduodenal-arcade-aneurysm-with-celiac-stenosis
#4
Eisuke Shibata, Hidemasa Takao, Shiori Amemiya, Kuni Ohtomo
This report describes perioperative hemodynamic monitoring of the common hepatic artery (CHA) during endovascular treatment of a pancreaticoduodenal arcade aneurysm, in a patient with celiac artery stenosis caused by the median arcuate ligament. Pressure monitoring was performed as a safety measure against critical complications such as liver ischemia. As the aneurysm was located in the anterior pancreaticoduodenal artery (APDA) and the posterior pancreaticoduodenal artery (PPDA) was small in caliber, the patient was considered to be at a high risk of liver ischemia...
November 18, 2016: Cardiovascular and Interventional Radiology
https://www.readbyqxmd.com/read/27777480/abdominal-vascular-syndromes-characteristic-imaging-findings
#5
Leandro Cardarelli-Leite, Fernanda Garozzo Velloni, Priscila Silveira Salvadori, Marcelo Delboni Lemos, Giuseppe D'Ippolito
Abdominal vascular syndromes are rare diseases. Although such syndromes vary widely in terms of symptoms and etiologies, certain imaging findings are characteristic. Depending on their etiology, they can be categorized as congenital-including blue rubber bleb nevus syndrome, Klippel-Trenaunay syndrome, and hereditary hemorrhagic telangiectasia (Rendu-Osler-Weber syndrome)-or compressive-including "nutcracker" syndrome, median arcuate ligament syndrome, Cockett syndrome (also known as May-Thurner syndrome), and superior mesenteric artery syndrome...
July 2016: Radiologia Brasileira
https://www.readbyqxmd.com/read/27744644/acute-median-arcuate-ligament-syndrome-after-pancreaticoduodenectomy
#6
Ilhan Karabicak, Sohei Satoi, Hiroaki Yanagimoto, Tomohisa Yamamoto, Satoshi Hirooka, So Yamaki, Hisashi Kosaka, Masaya Kotsuka, Kentoro Inoue, Yoichi Matsui, Masanori Kon
Median arcuate ligament syndrome (MALS) has been reported in 2-7.6 % of patients undergoing pancreaticoduodenectomy (PD). Most of the reported cases of MALS have been diagnosed perioperatively and treated radiologically or surgically before or during PD. MALS can have an acute postoperative onset after PD even if all preoperative and intraoperative evaluations are normal particularly in young patients.In this report, we present a second case of severe hepatic cytolysis secondary to MALS that developed acutely and the first patient who required acute division of the median arcuate ligament after PD...
December 2016: Surgical Case Reports
https://www.readbyqxmd.com/read/27738465/pancreatic-arcade-artery-aneurysm-a-rare-complication-after-replacement-of-thoracoabdominal-aortic-aneurysm
#7
Mitsuru Sato, Shunsuke Kawamoto, Yoshikatsu Saiki
Aneurysm in the pancreatic arcade artery is an uncommon event, and is usually associated with the condition of median arcuate ligament syndrome. The stenosis at the base of the celiac axis has been presumed to be attributable to a relative increase in flow and pressure within the pancreatic arcade, resulting in subsequent development of the aneurysm. We, herein, present a rare case with rapid development of a pancreatic arcade artery aneurysm immediately after the replacement of a thoracoabdominal aortic aneurysm...
2016: Annals of Vascular Diseases
https://www.readbyqxmd.com/read/27701003/aorto-hepatic-bypass-graft-for-repair-of-an-inferior-pancreatico-duodenal-artery-aneurysm-associated-with-coeliac-axis-occlusion-a-case-report
#8
Tom Hughes, Nikolaos A Chatzizacharias, James Richards, Simon Harper
INTRODUCTION: Inferior pancreatico-duodenal artery (IPDA) aneurysms are very rare and commonly associated with coeliac axis stenosis or occlusion due to atherosclerosis, thrombosis or median arcuate ligament syndrome. We present a case of a surgical repair of an IPDA aneurysm with the use of a supra-coeliac aorto-hepatic bypass with a polytetrafluoroethylene (PTFE) graft, following a failed initial attempt at an endovascular repair. PRESENTATION: A 75 year old female, who was under investigation for night sweats, was referred to our team with an incidental finding of a 19mm fusiform IPDA aneurysm...
September 26, 2016: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/27617257/celiac-axis-stenosis-as-a-rare-but-critical-condition-treated-with-pancreatoduodenectomy-report-of-2-cases
#9
Hyeong Min Park, Seung Duk Lee, Eung Chang Lee, In Joon Lee, Sung-Sik Han, Hyun Boem Kim, Seoung Hoon Kim, Soon-Ae Lee, Sang-Jae Park
We describe 2 cases of patients with loss of hepatic arterial flow during surgery for pancreatic head cancer due to celiac stenosis caused by median arcuate ligament compression. The first case underwent pylorus-resecting pancreatoduodenectomy for pancreatic head cancer. After resection of the gastroduodenal artery, flow in the common hepatic artery disappeared, and celiac axis stenosis was identified. Interventional stent insertion was attempted, however, it failed due to the acute angle of the celiac orifice (os)...
September 2016: Annals of Surgical Treatment and Research
https://www.readbyqxmd.com/read/27601318/novel-application-of-four-dimensional-wide-area-detector-computed-tomographic-angiography-for-investigation-of-median-arcuate-ligament-syndrome
#10
Kevin Cheng, Adam Doyle, Dean C Spilias, Kenneth K Lau
The median arcuate ligament syndrome is a rare disorder characterised by postprandial intestinal angina caused by compression of the coeliac artery by the median arcuate ligament. To date, the diagnosis and treatment of median arcuate ligament syndrome has remained controversial. To our knowledge, this is the first reported case of coeliac artery compression demonstrated on the four-dimensional wide-area detector CT angiogram.
September 7, 2016: Journal of Medical Imaging and Radiation Oncology
https://www.readbyqxmd.com/read/27594946/lessons-learned-from-a-case-of-multivessel-median-arcuate-ligament-syndrome-in-the-setting-of-an-arc-of-buhler
#11
Kevin O'Brien, Hector Ferral
The median arcuate ligament (MAL) can rarely compress both the celiac axis and superior mesenteric artery. We present a case of a 70-year male who presented with isolated episodes of upper abdominal pain and diarrhea associated with sweats and nausea. Angiography images demonstrated complete occlusion of the celiac axis and compression of the superior mesenteric artery during the expiration phases. The celiac axis was reconstituted distal to its origin by a patent Arc of Buhler. Other reported cases of multivessel MALs have produced severe symptoms in young adults requiring surgical and/or endovascular intervention...
September 2016: Radiology case reports
https://www.readbyqxmd.com/read/27590534/results-of-celiac-trunk-stenting-during-fenestrated-or-branched-aortic-endografting
#12
Hélène Wattez, Teresa Martin-Gonzalez, Benjamin Lopez, Rafaëlle Spear, Rachel E Clough, Adrien Hertault, Jonathan Sobocinski, Stéphan Haulon
BACKGROUND: Endovascular repair of aortic aneurysms involving the visceral segment of the aorta often requires placement of a covered bridging stent in the celiac axis (CA). The median arcuate ligament (MAL) is a fibrous arch that unites the diaphragmatic crura on either side of the aortic hiatus. The ligament may compress and distort the celiac artery and result in difficult cannulation, or stenosis and occlusion of the vessel. This study evaluated the influence of the MAL compression on the technical success and the patency of the celiac artery after branched and fenestrated endovascular aortic repair...
August 30, 2016: Journal of Vascular Surgery
https://www.readbyqxmd.com/read/27560288/median-arcuate-ligament-syndrome-predictor-of-ischemic-complications
#13
Agata Arazińska, Michał Polguj, Andrzej Wojciechowski, Łukasz Trębiński, Ludomir Stefańczyk
Median arcuate ligament syndrome (MALS) is a pathologic entity that can affect the celiac axis. Due to the extensive collateral network of mesenteric circulation, stenosis of one mesenteric artery does not lead to significant symptoms. The purpose of this study was to describe multidetector computed tomography (MDCT) angiography findings of celiac artery entrapment by the median arcuate ligament and determine those patients with high risks of ischemic complications. From January 2012 to March 2016, 103 patients with celiac artery (CA) compression by median arcuate ligament were detected...
November 2016: Clinical Anatomy
https://www.readbyqxmd.com/read/27427348/delayed-development-of-multiple-pancreaticoduodenal-arcade-pseudoaneurysms-after-abdominal-trauma
#14
Ashley Prosper, Farhood Saremi
This case report demonstrates development and progressive enlargement of multiple pancreaticoduodenal arcade pseudoaneurysms using CT angiographies over a period of 5 weeks after abdominal trauma. The mechanism of pseudoaneurysm formation, as shown by serial imaging, attributed to preexisting celiac axis stenosis by the median arcuate ligament, post traumatic celiac artery dissection, and secondary occlusion of proper hepatic artery resulting in elevation of pressure and flow in the pancreaticocduodenal arcade and rupture of small arterial branches...
July 14, 2016: Annals of Vascular Surgery
https://www.readbyqxmd.com/read/27403674/pediatric-chronic-abdominal-pain-and-median-arcuate-ligament-syndrome-a-review-and-psychosocial-comparison
#15
Grace Zee Mak, Amanda R Lucchetti, Tina Drossos, Ellen E Fitzsimmons-Craft, Erin C Accurso, Colleen Stiles-Shields, Erika A Newman, Christopher L Skelly
Chronic abdominal pain (CAP) occurs in children and adolescents with a reported prevalence of 4% to 41% with significant direct and indirect costs to the child, family, and society. Median arcuate ligament syndrome (MALS) is a vascular compression syndrome of the celiac artery that may cause symptoms of epigastric pain and weight loss and is a frequently overlooked cause of CAP in the pediatric population. We have observed that the psychosocial presentation of patients with MALS is notable for various psychiatric comorbidities...
July 1, 2016: Pediatric Annals
https://www.readbyqxmd.com/read/27375809/endovascular-stenting-for-non-traumatic-celiac-artery-stenosis-following-pancreatoduodenectomy
#16
Si-Yuan Yao, Shintaro Yagi, Hiroyuki Ueda
Postoperative celiac artery stenosis (CAS) rarely occurs in the absence of vascular injury or pseudoaneurysm after pancreatoduodenectomy (PD). Because of its low incidence, the optimal treatment for non-traumatic postoperative CAS is unknown. Here, we show a case of CAS possibly due to exacerbated median arcuate ligament compression after PD. The purpose of this report is to describe this rare complication and its successful endovascular treatment with review of literatures.
2016: Annals of Vascular Diseases
https://www.readbyqxmd.com/read/27339069/acute-celiac-artery-compression-syndrome-after-extensive-correction-of-sagittal-balance-on-an-adult-spinal-deformity
#17
Naoki Notani, Masashi Miyazaki, Toyomi Yoshiiwa, Toshinobu Ishihara, Hiroshi Tsumura
PURPOSE: To describe the first case of a patient who developed acute celiac artery compression syndrome (ACACS) after extensive correction of sagittal balance on an adult spinal deformity. METHODS: A 77-year-old woman presented with low back pain and spinal kyphosis deformity. We performed a two-stage correction with extreme lateral interbody fusion (XLIF), and her lumbar lordosis improved from -47° to 53°. However, after surgery, she experienced frequent vomiting and diarrhea...
June 23, 2016: European Spine Journal
https://www.readbyqxmd.com/read/27303132/laparoscopic-division-of-median-arcuate-ligament-for-the-celiac-axis-compression-syndrome-two-case-reports-with-review-of-literature
#18
Parthasarathy Ramakrishnan, Biswajit Deuri, M S S Keerthi, Subrahmaneswara Babu Naidu, Rajapandian Subbaiah, Praveen Raj, Senthilnathan Palanisamy, Palanivelu Chinnusamy
Median arcuate ligament (MAL) syndrome is an uncommon condition caused by the external compression of the celiac trunk by the median arcuate ligament. In the current era of technological advancement, this syndrome may be corrected through the laparoscopic approach. We report two patients who were diagnosed as MAL syndrome and underwent laparoscopic division of MAL fibers at our institute. Both the patients improved symptomatically following the procedure and were discharged on the fourth post-operative day...
April 2016: Indian Journal of Surgery
https://www.readbyqxmd.com/read/27177949/median-arcuate-ligament-syndrome-in-athletes
#19
Jeffrey N Harr, Ivy N Haskins, Fred Brody
BACKGROUND: Exercise-related transient abdominal pain (ETAP) is a common entity in young athletes. Most occurrences are due to a "cramp" or "stitch," but an uncommon, and often overlooked, etiology of ETAP is median arcuate ligament syndrome (MALS). The initial presentation of MALS typically includes postprandial nausea, bloating, abdominal pain, and diarrhea, but in athletes, the initial presentation may be ETAP. METHODS: We present a case series of three athletes who presented with exercise-related transient abdominal pain and were ultimately diagnosed and treated for MALS...
May 13, 2016: Surgical Endoscopy
https://www.readbyqxmd.com/read/27122676/pancreaticoduodenal-artery-aneurysm-associated-with-coeliac-artery-occlusion-from-an-aortic-intramural-hematoma
#20
Akihiko Sakatani, Yoshinori Doi, Toshiaki Kitayama, Takaaki Matsuda, Yasutaka Sasai, Naohiro Nishida, Megumi Sakamoto, Naoto Uenoyama, Kazuo Kinoshita
Pancreaticoduodenal artery aneurysms are a rare type of visceral artery aneurysm, whose rupture is associated with high mortality. These aneurysms are of particular interest because local haemodynamic change caused by coeliac artery obstruction plays an important role in their development. However, the pathophysiological mechanism of coeliac artery obstruction is not completely understood. Pressure from the median arcuate ligament is most frequently reported cause. Although it is well-known that stenosis or occlusion of the visceral vessels may be caused by aortic syndrome, reports of pancreaticoduodenal artery aneurysm associated with coeliac artery occlusion due to aortic syndrome are extremely rare...
April 28, 2016: World Journal of Gastroenterology: WJG
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