Evidence map›Paper›PMID 36225522›Full record

ArticleCureus2022

Median Arcuate Ligament Syndrome: Management and Literature Review.

Okelue E Okobi, Belinda A Afuda, Maureen Boms, Chinwendum U Ekpemiro, Nneka J Umeh, Chukwudike G Nnaji, Nkemputaife P Onyechi, Oluwatobi G Faderin, Jennifer C Chiji-Aguma, Eboigbe Stephen and 1 more

Open access · diamondAbstract readCase Reports
In one paragraph

Article in Cureus, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.9field-weighted citation impact, top 26% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 3 institutions in 1 country.

Okelue E OkobiFamily Medicine, Lakeside Medical Center, Belle Glade, USA.
Belinda A AfudaFamily Medicine, Humber River Hospital, Toronto, CAN.
Maureen BomsClinical Research, University of Alabama at Birmingham, Birmingham, USA.
Chinwendum U EkpemiroSurgery, Federal Medical Centre, Umuahia, NGA.
Nneka J UmehGeneral Medicine, Brooklyn Queens Nursing Home, New York, USA.
Chukwudike G NnajiInternal Medicine/Family Medicine, Windsor University School of Medicine, Chicago, USA.
Nkemputaife P OnyechiInternal Medicine, University Hospitals Cleveland Medical Center, Cleveland, USA.
Oluwatobi G FaderinFamily and Community Medicine, Olabisi Onabanjo University Teaching Hospital, Sagamu, NGA.
Jennifer C Chiji-AgumaInternal Medicine, All Saints University Dominica - School of Medicine, Roseau, DMA.
Eboigbe StephenGeneral Practice, Lagos University Teaching Hospital, Lagos, NGA.
Clifford O AmadiRadiology, Nottingham University Hospitals NHS Trust, Nottingham, GBR.
University Hospitals of Cleveland · USUniversity of Alabama at Birmingham · USWindsor Dermatology · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Pain, nausea, vomiting, weight loss, diarrhea, and fatigue are common symptoms of several upper gastroenterological illnesses. However, the presence of unexplained recurring postprandial abdominal pain and vomiting increases the possibility of median arcuate ligament syndrome (MALS). MALS is an uncommon illness characterized by postprandial vomiting, abdominal pain, and weight loss. The compression of the median arcuate ligament on the celiac trunk and/or its surrounding celiac nerve plexus may explain this disease phenomenon. Comprehensive workup for other etiologies may be unrevealing except for the compression of the celiac trunk identified in imaging studies and, perhaps, occasional arterial flow rates in sonography studies in some severe cases. Due to the overlapping symptoms of upper gastroenterological disorders, misdiagnosis may be widespread. Therefore, it is essential to consider MALS while examining a patient with upper gastrointestinal disease. In this case series, we present two cases of MALS with similar clinical trajectories and differences in diagnostic techniques.

Indexed as

celiac axis compression syndromemedian arcuate ligament releasemedian arcuate ligament syndromenauseapersistent vomitingpostprandial vomitingrecurrent upper abdominal painrecurrent vomitingunexplained abdominal painweight loss

Identifiers

PMID36225522
PMCPMC9542491
OpenAlexW4295014117

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.