Stepwise management of median arcuate ligament syndrome with visceral artery aneurysm: Surgical ligament release followed by percutaneous transluminal angioplasty.
A woman in her 20s presented with an 8-year history of postprandial abdominal pain. Contrast-enhanced computed tomography revealed severe stenosis at the origin of the celiac artery, collateral circulation from the superior mesenteric artery, and an associated inferior pancreaticoduodenal artery ane…
Hypoglycemia associated with median arcuate ligament syndrome surgery.
We present a patient who developed symptomatic hypoglycemia following surgical treatment for median arcuate ligament syndrome (MALS). The patient experienced predominately postprandial hypoglycemia after higher carbohydrate meals. Clinical findings revealed postprandial hyperinsulinemic hypoglycemia…
Vascular Abnormalities in Athletes: State-of-the-Art Multimodality Imaging.
Vascular abnormalities in athletes, although less common than musculoskeletal injuries, present a significant diagnostic challenge due to overlapping manifestations. These conditions range from subtle exertional discomfort to potentially limb-threatening ischemia and life-threatening complications s…
Median arcuate ligament syndrome (MALS) is a rare vascular condition, more commonly observed in females and typically considered a diagnosis of exclusion. Its clinical presentation often mimics chronic mesenteric ischemia, making diagnosis challenging. We report an interestingly rare case of a young…
Robotic median arcuate ligament release in a pediatric surgery center.
Median arcuate ligament syndrome is characterized by chronic abdominal pain due to compression and neurofibrosis of the celiac trunk. While it frequently presents in adulthood, adolescents can be affected. The syndrome is often treated with an open median arcuate ligament release. Robotic surgery ha…
Anatomical Evaluation of Celiac Artery and Median Arcuate Ligament Displacement During Spinal Corrective Procedures: A Cadaveric Study.
Celiac artery compression syndrome (CACS) is a rare but potentially life-threatening complication of spinal deformity correction. Although prior reports have suggested an association between spinal correction and vascular compression, the underlying anatomical mechanisms remain unclear. This study a…
Embolization of spontaneous retroperitoneal bleeding fed by aneurysmal arc of Bühler: Case report and technical considerations.
The arc of Bühler (AOB) is a rare embryonic anastomosis between the celiac artery and the superior mesenteric artery, which may become a crucial collateral pathway in cases of celiac axis stenosis. We report a challenging case of a 70-year-old woman presenting with hemorrhagic shock owing to a…