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median arcuate syndrome

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https://www.readbyqxmd.com/read/29215344/a-new-laparoscopic-manoeuvre-in-median-arcuate-ligament-syndrome
#1
Selçuk Gülmez, Ulaş Aday, Aziz Serkan Senger, Ebubekir Gündeş
No abstract text is available yet for this article.
December 1, 2017: Balkan Medical Journal
https://www.readbyqxmd.com/read/29209989/pancreaticoduodenal-artery-aneurysms-due-to-median-arcuate-ligament-syndrome-what-we-need-to-know
#2
A Peyrottes, D Mariage, P Baqué, D Massalou
Median arcuate ligament (MAL) syndrome is a rare and poorly known cause of abdominal pain. MAL narrows the celiac artery (CA), resulting in true distal aneurysms, including pancreaticoduodenal artery (PDA) aneurysms. These aneurysms often have an aggressive course, as rupture can result in hemorrhagic shock. CT scan appears to be the most effective investigation for the diagnosis of PDA aneurysms and may reveal possible celiac artery compression. In this series, we describe four cases of PDA aneurysm: two ruptured aneurysms treated by an endovascular procedure and two non-ruptured aneurysms treated by surgery...
December 5, 2017: Surgical and Radiologic Anatomy: SRA
https://www.readbyqxmd.com/read/29185149/laparoscopic-treatment-of-median-arcuate-ligament-syndrome-analysis-of-long-term-outcomes-and-predictive-factors
#3
Javier A Cienfuegos, Mateo G Estevez, Miguel Ruiz-Canela, Fernando Pardo, Alberto Diez-Caballero, Isabel Vivas, Jose Ignacio Bilbao, Pablo Martí-Cruchaga, Gabriel Zozaya, Víctor Valentí, José Luis Hernández-Lizoáin, Fernando Rotellar
BACKGROUND: Laparoscopic arcuate ligament release has been demonstrated a valid therapeutic option for arcuate ligament syndrome. Nevertheless, long-term follow-up and predictive factors have not been described for this treatment. METHODS: Clinical and surgical data and short- and long-term outcomes together with the impact of the degree of stenosis of the celiac trunk were analyzed in 13 consecutive patients who underwent laparoscopic arcuate ligament release between 2001 and 2013...
November 28, 2017: Journal of Gastrointestinal Surgery: Official Journal of the Society for Surgery of the Alimentary Tract
https://www.readbyqxmd.com/read/29183305/hemodynamic-benefits-of-celiac-artery-release-for-ruptured-right-gastric-artery-aneurysm-associated-with-median-arcuate-ligament-syndrome-a-case-report
#4
Tetsuro Toriumi, Takuro Shirasu, Atsushi Akai, Yuichi Ohashi, Takatoshi Furuya, Yukihiro Nomura
BACKGROUND: It has been reported that median arcuate ligament syndrome is closely associated with gastric or pancreaticoduodenal artery aneurysms. Hemodynamic state plays an important role in the formation of the aneurysms. These aneurysms are treated with open resection or endovascular exclusion. However, whether revascularization of the celiac artery can prevent the aneurysm formation is unknown. This report indicated a possibility that prophylactic revascularization for celiac artery stenosis resulted in decreased shear stress on the collaterals, which may otherwise be susceptible to new aneurysms...
November 28, 2017: BMC Surgery
https://www.readbyqxmd.com/read/29094361/arterial-anomalies-of-the-celiac-trunk-and-median-arcuate-ligament-compression-in-dogs-and-cats-assessed-by-computed-tomography-angiography
#5
Hélène M Le Pommellet, Brian A Scansen, Dimitria A Mathys, Dixie F Mollenkopf, Lauren Reeves, Melissa L Skinas, Mira Patel
OBJECTIVE: To identify abnormalities of the celiac artery (CA) and major branches in dogs and cats by computed tomography angiography (CTA). STUDY DESIGN: Multi-institutional retrospective case series. ANIMALS: Two hundred fifty-four dogs and 13 cats. METHODS: Abdominal CTA images from 2009 to 2017 were reviewed. Logistic regression models were used to evaluate the relationship between CA abnormalities and sex, age, size of dog, concurrent venous anomaly, or presence of gastrointestinal signs...
November 2, 2017: Veterinary Surgery: VS
https://www.readbyqxmd.com/read/29076481/-laparoscopic-decompression-of-celiac-trunk-in-children
#6
A Yu Razumovsky, Z B Mitupov, E V Feoktistova, A I Gurevich, E A Titova, A A Yusufov, V V Svetlov, Yu V Nagornaya
MATERIAL AND METHODS: For the period 2013-2016 four patients were treated at the Filatov Children's City Clinical Hospital #13. There were 2 children aged 14 years and 2 children aged 17 years. All patients have been diagnosed via anamnesis, complaints, pulse-wave doppler sonography, contrast-enhanced MDCT and angiography. After comprehensive examination 3 patients underwent laparoscopic decompression of celiac trunk. In all cases celiac trunk compression was predominantly caused by median arcuate ligament of the diaphragm combined with neurofibrotic tissue of celiac plexus...
2017: Khirurgiia
https://www.readbyqxmd.com/read/28904981/median-arcuate-ligament-syndrome-it-is-not-always-gastritis
#7
Aneesh Kuruvilla, Ghulam Murtaza, Ayesha Cheema, Hafiz Muhammad Sharjeel Arshad
Median arcuate ligament syndrome is a rare disorder that is clinically characterized by the triad of postprandial abdominal pain, weight loss, and often an abdominal bruit due to compression of the celiac artery by the median arcuate ligament. Given the nonspecific symptoms, this is a rare and difficult diagnosis to obtain. We present a patient with nonspecific abdominal pain in whom etiology was ultimately determined to be median arcuate ligament syndrome.
July 2017: Journal of Investigative Medicine High Impact Case Reports
https://www.readbyqxmd.com/read/28892965/dunbar-syndrome-a-rare-cause-of-foregut-ischemia
#8
Tagore Sunkara, Megan E Caughey, Kevin Cai Zhen, Brian Chiong, Vinaya Gaduputi
Median Arcuate Ligament Syndrome (MALS) is a condition that can result from an anatomical aberration. If the median arcuate ligament is located too inferiorly in relation to the celiac axis, it can impede circulation and lead to vascular compromise. Here, we present the case of a 63-year-old woman, who came to the hospital complaining of continuous epigastric pain and who was ultimately found to have MALS. Her epigastric pain could be the result of the ischemia caused by MALS that made it difficult for the duodenal ulcer to heal properly...
July 2017: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/28859519/intraoperative-measurement-of-pressure-gradient-in-median-arcuate-ligament-syndrome-as-a-rationale-for-radical-surgical-approach
#9
Tomas Grus, Lukas Lambert, Tomas Vidim, Gabriela Grusova, Tomas Klika
BACKGROUND: Median arcuate ligament syndrome (MALS) describes clinical symptoms in patients with stenosis of the celiac artery due to external compression by the ligament. There is an ongoing debate, whether sole release of the median arcuate ligament warrants long-term relief of the symptoms. MATERIALS AND METHODS: Eight patients diagnosed with MALS underwent open surgical treatment beginning with the release of the ligament. Systemic pressure and pressure in the left gastric artery were measured before and after division of the median arcuate ligament and release of the celiac artery...
August 31, 2017: Acta Chirurgica Belgica
https://www.readbyqxmd.com/read/28851450/open-vascular-treatment-of-median-arcuate-ligament-syndrome
#10
Mansur Duran, Florian Simon, Neslihan Ertas, Hubert Schelzig, Nikolaos Floros
BACKGROUND: Median arcuate ligament syndrome is a rare condition with abdominal symptoms. Accepted treatment options are open release of median arcuate ligament, laparoscopic release of edian arcuate ligament, robot-assisted release of median arcuate ligament and open vascular treatment. Here we aimed to evaluate the central priority of open vascular therapy in the treatment of median arcuate ligament syndrome. METHODS: We conducted a monocentric retrospective study between January 1996 and June 2016...
August 29, 2017: BMC Surgery
https://www.readbyqxmd.com/read/28744083/imaging-features-of-vascular-compression-in-abdomen-fantasy-phenomenon-or-true-syndrome
#11
Sitthipong Srisajjakul, Patcharin Prapaisilp, Sirikan Bangchokdee
Vascular structures in the abdomen can compress or be compressed by adjacent structures. Classic imaging findings of vascular compressions, including median arcuate ligament syndrome, superior mesenteric artery syndrome, nutcracker syndrome, portal biliopathy, May-Thurner syndrome, and ureteropelvic junction obstruction will be discussed here. It is important to correlate imaging findings and clinical data to identify asymptomatic vascular compression which requires no treatment, intermittent vascular compression with nonspecific or vague clinical manifestation, and the subset of patients with true syndromes who will benefit from treatment...
April 2017: Indian Journal of Radiology & Imaging
https://www.readbyqxmd.com/read/28738298/laparoscopic-treatment-of-dunbar-syndrome-a-case-report
#12
Orlando Jorge M Torres, Ozimo Pereira Gama-Filho, Camila Cristina Salazar Torres, Ricardo Mary Medeiros, Caio Márcio Barros Oliveira
BACKGROUND: Dunbar syndrome is a rare disorder due to external compression of the celiac trunk by the median arcuate ligament. The symptoms include abdominal pain, nausea and vomiting. Laparoscopic treatment was suggested as a safe procedure. The aim of this study is to present a case of Dunbar syndrome underwent laparoscopic treatment. CASEPRESENTATION: A 17-year-old female patient presented at emergency room with upper abdominal pain and dyspepsia, related to food intake...
2017: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/28473083/acr-appropriateness-criteria%C3%A2-radiologic-management-of-mesenteric-ischemia
#13
Nicholas Fidelman, Ali F AbuRahma, Brooks D Cash, Baljendra S Kapoor, M-Grace Knuttinen, Jeet Minocha, Paul J Rochon, Colette M Shaw, Charles E Ray, Jonathan M Lorenz
Mesenteric vascular insufficiency is a serious medical condition that may lead to bowel infarction, morbidity, and mortality that may approach 50%. Recommended therapy for acute mesenteric ischemia includes aspiration embolectomy, transcatheter thrombolysis, and angioplasty with or without stenting for the treatment of underlying arterial stenosis. Nonocclusive mesenteric ischemia may respond to transarterial infusion of vasodilators such as nitroglycerin, papaverine, glucagon, and prostaglandin E1. Recommended therapy for chronic mesenteric ischemia includes angioplasty with or without stent placement and, if an endovascular approach is not possible, surgical bypass or endarterectomy...
May 2017: Journal of the American College of Radiology: JACR
https://www.readbyqxmd.com/read/28462569/exercise-induced-median-arcuate-ligament-syndrome-in-athletes-case-series
#14
Yasmin Grant, Sarah Onida, Brahman Dharmarajah, Emma B Davies, Alun H Davies
The median arcuate ligament (MAL) is a fibrous arch connecting the right and left diaphragmatic crura; this usually lies superior to the origin of the coeliac axis. Occasionally, the ligament crosses anterior to the aorta, at the level of the coeliac trunk; leading to mechanical compression of the coeliac artery, resulting in the clinical condition of MAL syndrome (MALS). Symptomatic patients characteristically present with post-prandial pain associated with unintentional weight loss, nausea, vomiting and diarrhoea...
April 28, 2017: Journal of Sports Medicine and Physical Fitness
https://www.readbyqxmd.com/read/28381781/a-case-report-of-duodenal-obstruction-due-to-retroperitoneal-bleeding-after-the-rupture-of-a-lower-pancreaticoduodenal-artery-aneurysm
#15
REVIEW
Nobuhiro Takeuchi, Kazumasa Emori, Yusuke Nomura
We report a case of a patient with duodenal obstruction due to retroperitoneal bleeding after the rupture of a lower pancreaticoduodenal artery aneurysm. An 80-year-old female was admitted to our hospital because of nausea and vomiting. During hospitalization, she developed hemorrhagic shock. Enhanced computed tomography revealed retroperitoneal bleeding. Abdominal angiography revealed an 8-mm aneurysm of the lower pancreaticoduodenal artery, stenosis at the trunk of the celiac artery, and increased blood flow through the pancreaticoduodenal arcades from the superior mesenteric artery...
2017: Nihon Shokakibyo Gakkai Zasshi, the Japanese Journal of Gastro-enterology
https://www.readbyqxmd.com/read/28050657/median-arcuate-ligament-syndrome-a-single-center-experience-with-23-patients
#16
Layla A Nasr, Walid G Faraj, Aghiad Al-Kutoubi, Mohamad Hamady, Mohamad Khalifeh, Ali Hallal, Hamzeh M Halawani, Joelle Wazen, Ali A Haydar
BACKGROUND: Median arcuate ligament syndrome (MALS) is a rare entity that occurs when the median arcuate ligament of the diaphragm is low-lying, causing a compression to the underlying celiac trunk. We reviewed the vascular changes associated with MALS in an effort to emphasize the seriousness of this disease and the complications that may result. METHODS: This is a retrospective descriptive analysis of 23 consecutive patients diagnosed with MALS between January 1, 2012 and December 31, 2015 at a tertiary medical center...
May 2017: Cardiovascular and Interventional Radiology
https://www.readbyqxmd.com/read/27980769/median-arcuate-ligament-syndrome-case-presentation-and-video-illustrated-laparoscopic-management
#17
Antoine El Asmar, Ziad El Rassi
Laparoscopic release of the median arcuate ligament, to relieve symptomatic compression of the celiac trunk, is the ideal approach when performed in a specialized center, by a surgeon with the adequate experience in advanced laparoscopic surgery.
December 2016: Clinical Case Reports
https://www.readbyqxmd.com/read/27890893/successful-coil-embolization-of-an-aneurysm-in-the-arc-of-b%C3%A3-hler
#18
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
#19
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/27777480/abdominal-vascular-syndromes-characteristic-imaging-findings
#20
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
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