ArticleANZ journal of surgery2022
A diagnostic workup and laparoscopic approach for median arcuate ligament syndrome.
Article in ANZ journal of surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed, 15 citations in OpenAlex.
- Median Arcuate Ligament Syndrome: Diagnostic Challenges and Outcomes Following Laparoscopic Decompression.Cureus · 2026Article
- Median Arcuate Ligament Syndrome: A Hidden Cause of Abdominal Pain.Clinical case reports · 2026Article
- Case Report: Recurrent peptic ulcer perforations-a possible role of median arcuate ligament syndrome.Frontiers in surgery · 2026Article
- Intraoperative evaluation of median arcuate ligament syndrome using a transit-time flowmeter: a case report.BMC surgery · 2025Article
- Median Arcuate Ligament Syndrome Causing Nutcracker Syndrome and Left-Sided Varicocele.Cureus · 2025Article
- Diagnosing Median Arcuate Ligament Syndrome in a Patient With a History of Duodenal Lymphoma: A Case Report.Cureus · 2025Article
- A radio-anatomical study of median arcuate ligament syndrome: unveiling the morphology and morphometry of median arcuate ligament, celiac trunk, and superior mesenteric artery.Abdominal radiology (New York) · 2024Article
- Laparoscopic median arcuate ligament section for median arcuate ligament compression syndrome initially detected as splenic infarction: a case report.Surgical case reports · 2024Article
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Authors and funding
3 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMedian arcuate ligament syndrome (MALS) is a rare disorder characterized by the compression of the coeliac trunk and plexus by fibrous arches of the median ligament. It commonly occurs in young women with postprandial epigastric pain, weight loss and nausea. We present a single surgeon experience on the diagnostic approach and management of MALS with a focus on laparoscopic surgery.
methodsA retrospective review of adult patients diagnosed with MALS during a 10-year period (2011-2021) was conducted at Bankstown-Lidcombe hospital in New South Wales, Australia.
resultsMALS was diagnosed in six patients (mean 46 years, range: 27-74 years old), all confirmed on mesenteric duplex ultrasound and computed tomography angiography. The most common presentations were women with post-prandial pain, exercise induced pain and an average weight loss of 14.5 kg. The median interval from onset of symptoms to surgical referral was 10.5 months. The average BMI was 24.1 kg/m
conclusionLaparoscopic median arcuate ligament release with endovascular support for selected cases provides sound clinical resolution of symptoms and long-term results.
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