Median Arcuate Ligament Syndrome: Management and Literature Review.
| Autor: | Okobi OE; Family Medicine, Lakeside Medical Center, Belle Glade, USA., Afuda BA; Family Medicine, Humber River Hospital, Toronto, CAN., Boms M; Clinical Research, University of Alabama at Birmingham, Birmingham, USA., Ekpemiro CU; Surgery, Federal Medical Centre, Umuahia, NGA., Umeh NJ; General Medicine, Brooklyn Queens Nursing Home, New York, USA., Nnaji CG; Internal Medicine/Family Medicine, Windsor University School of Medicine, Chicago, USA., Onyechi NP; Internal Medicine, University Hospitals Cleveland Medical Center, Cleveland, USA., Faderin OG; Family and Community Medicine, Olabisi Onabanjo University Teaching Hospital, Sagamu, NGA., Chiji-Aguma JC; Internal Medicine, All Saints University Dominica - School of Medicine, Roseau, DMA., Stephen E; General Practice, Lagos University Teaching Hospital, Lagos, NGA., Amadi CO; Radiology, Nottingham University Hospitals NHS Trust, Nottingham, GBR. |
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| Jazyk: | angličtina |
| Zdroj: | Cureus [Cureus] 2022 Sep 07; Vol. 14 (9), pp. e28889. Date of Electronic Publication: 2022 Sep 07 (Print Publication: 2022). |
| DOI: | 10.7759/cureus.28889 |
| Abstrakt: | 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. Competing Interests: The authors have declared that no competing interests exist. (Copyright © 2022, Okobi et al.) |
| Databáze: | MEDLINE |
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