Minimally Invasive Surgery for Median Arcuate Ligament Syndrome and Celiac Artery Stenosis
Median arcuate ligament syndrome (MALS) is a pathology commonly reported in educational literature, although in reality it is scarcely seen. Herein, we present the case of a 48-year-old female patient who presented with nausea, vomiting, and unintentional weight loss. After thorough work up of her s...
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| Veröffentlicht in: | The American surgeon 2023-05, Vol.89 (5), p.2052-2055 |
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| container_issue | 5 |
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| container_title | The American surgeon |
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| creator | Warshel, McKenzie Curfman, Karleigh R. Nannapaneni, Siddhartha R. Patel, Nilesh Duke, D’Arcy N. |
| description | Median arcuate ligament syndrome (MALS) is a pathology commonly reported in educational literature, although in reality it is scarcely seen. Herein, we present the case of a 48-year-old female patient who presented with nausea, vomiting, and unintentional weight loss. After thorough work up of her symptoms through a variety of different modalities, MALS was confirmed and she underwent surgical release via a minimally invasive approach. The authors of this article feel that this case is important to present due to paucity of reported cases in the literature. In addition, this patient was exceptionally unique to report as we selected to perform a slight adaptation of a minimally invasive approach, while there are multiple different treatment techniques and management plans that have previously been described in a variety of different literatures and require further discussion. |
| doi_str_mv | 10.1177/00031348211023445 |
| format | Article |
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Herein, we present the case of a 48-year-old female patient who presented with nausea, vomiting, and unintentional weight loss. After thorough work up of her symptoms through a variety of different modalities, MALS was confirmed and she underwent surgical release via a minimally invasive approach. The authors of this article feel that this case is important to present due to paucity of reported cases in the literature. In addition, this patient was exceptionally unique to report as we selected to perform a slight adaptation of a minimally invasive approach, while there are multiple different treatment techniques and management plans that have previously been described in a variety of different literatures and require further discussion.</description><identifier>ISSN: 0003-1348</identifier><identifier>EISSN: 1555-9823</identifier><identifier>DOI: 10.1177/00031348211023445</identifier><identifier>PMID: 34049461</identifier><language>eng</language><publisher>Los Angeles, CA: SAGE Publications</publisher><subject>Abdomen ; Celiac Artery - surgery ; Constriction, Pathologic - etiology ; Constriction, Pathologic - surgery ; Dissection ; Female ; Humans ; Ischemia ; Laparoscopy ; Laparotomy ; Ligaments ; Median Arcuate Ligament Syndrome - complications ; Median Arcuate Ligament Syndrome - diagnosis ; Median Arcuate Ligament Syndrome - surgery ; Medical imaging ; Middle Aged ; Minimally invasive surgery ; Minimally Invasive Surgical Procedures ; Narcotics ; Nausea ; Pain ; Pathology ; Patients ; Stenosis ; Surgery ; Tomography ; Ultrasonic imaging ; Veins & arteries ; Vomiting ; Weight loss</subject><ispartof>The American surgeon, 2023-05, Vol.89 (5), p.2052-2055</ispartof><rights>The Author(s) 2021</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c320t-f44175d1468c10bc170b03b2f30577c74b1f2c5524770d2632f95a75fa6294183</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/00031348211023445$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/00031348211023445$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,776,780,21799,27903,27904,43600,43601</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34049461$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Warshel, McKenzie</creatorcontrib><creatorcontrib>Curfman, Karleigh R.</creatorcontrib><creatorcontrib>Nannapaneni, Siddhartha R.</creatorcontrib><creatorcontrib>Patel, Nilesh</creatorcontrib><creatorcontrib>Duke, D’Arcy N.</creatorcontrib><title>Minimally Invasive Surgery for Median Arcuate Ligament Syndrome and Celiac Artery Stenosis</title><title>The American surgeon</title><addtitle>Am Surg</addtitle><description>Median arcuate ligament syndrome (MALS) is a pathology commonly reported in educational literature, although in reality it is scarcely seen. 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In addition, this patient was exceptionally unique to report as we selected to perform a slight adaptation of a minimally invasive approach, while there are multiple different treatment techniques and management plans that have previously been described in a variety of different literatures and require further discussion.</description><subject>Abdomen</subject><subject>Celiac Artery - surgery</subject><subject>Constriction, Pathologic - etiology</subject><subject>Constriction, Pathologic - surgery</subject><subject>Dissection</subject><subject>Female</subject><subject>Humans</subject><subject>Ischemia</subject><subject>Laparoscopy</subject><subject>Laparotomy</subject><subject>Ligaments</subject><subject>Median Arcuate Ligament Syndrome - complications</subject><subject>Median Arcuate Ligament Syndrome - diagnosis</subject><subject>Median Arcuate Ligament Syndrome - surgery</subject><subject>Medical imaging</subject><subject>Middle Aged</subject><subject>Minimally invasive surgery</subject><subject>Minimally Invasive Surgical Procedures</subject><subject>Narcotics</subject><subject>Nausea</subject><subject>Pain</subject><subject>Pathology</subject><subject>Patients</subject><subject>Stenosis</subject><subject>Surgery</subject><subject>Tomography</subject><subject>Ultrasonic imaging</subject><subject>Veins & arteries</subject><subject>Vomiting</subject><subject>Weight loss</subject><issn>0003-1348</issn><issn>1555-9823</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kM9LwzAYhoMobk7_AC8S8OKlM19-NO1xDH8MNjxML15Kmqajo01n0g7235uxqaB4Ch953vdLHoSugYwBpLwnhDBgPKEAhDLOxQkaghAiShPKTtFwfx_tgQG68H4dRh4LOEcDxglPeQxD9L6obNWout7hmd0qX20NXvZuZdwOl63DC1NUyuKJ073qDJ5XK9UY2-HlzhaubQxWtsBTU1dKB6jbx5adsa2v_CU6K1XtzdXxHKG3x4fX6XM0f3maTSfzSDNKuqjkHKQogMeJBpJrkCQnLKclI0JKLXkOJdVCUC4lKWjMaJkKJUWpYppySNgI3R16N6796I3vsqby2tS1sqbtfUYFC1-VKfCA3v5C123vbHhdxkgcJ0zSoGyE4EBp13rvTJltXHDkdhmQbC8--yM-ZG6OzX3emOI78WU6AOMD4NXK_Kz9v_ETQgWH8g</recordid><startdate>202305</startdate><enddate>202305</enddate><creator>Warshel, McKenzie</creator><creator>Curfman, Karleigh R.</creator><creator>Nannapaneni, Siddhartha R.</creator><creator>Patel, Nilesh</creator><creator>Duke, D’Arcy N.</creator><general>SAGE Publications</general><general>SAGE PUBLICATIONS, INC</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>4T-</scope><scope>4U-</scope><scope>7QL</scope><scope>7T7</scope><scope>7U9</scope><scope>8FD</scope><scope>C1K</scope><scope>FR3</scope><scope>H94</scope><scope>K9.</scope><scope>M7N</scope><scope>NAPCQ</scope><scope>P64</scope><scope>7X8</scope></search><sort><creationdate>202305</creationdate><title>Minimally Invasive Surgery for Median Arcuate Ligament Syndrome and Celiac Artery Stenosis</title><author>Warshel, McKenzie ; Curfman, Karleigh R. ; Nannapaneni, Siddhartha R. ; Patel, Nilesh ; Duke, D’Arcy N.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c320t-f44175d1468c10bc170b03b2f30577c74b1f2c5524770d2632f95a75fa6294183</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Abdomen</topic><topic>Celiac Artery - surgery</topic><topic>Constriction, Pathologic - etiology</topic><topic>Constriction, Pathologic - surgery</topic><topic>Dissection</topic><topic>Female</topic><topic>Humans</topic><topic>Ischemia</topic><topic>Laparoscopy</topic><topic>Laparotomy</topic><topic>Ligaments</topic><topic>Median Arcuate Ligament Syndrome - complications</topic><topic>Median Arcuate Ligament Syndrome - diagnosis</topic><topic>Median Arcuate Ligament Syndrome - surgery</topic><topic>Medical imaging</topic><topic>Middle Aged</topic><topic>Minimally invasive surgery</topic><topic>Minimally Invasive Surgical Procedures</topic><topic>Narcotics</topic><topic>Nausea</topic><topic>Pain</topic><topic>Pathology</topic><topic>Patients</topic><topic>Stenosis</topic><topic>Surgery</topic><topic>Tomography</topic><topic>Ultrasonic imaging</topic><topic>Veins & arteries</topic><topic>Vomiting</topic><topic>Weight loss</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Warshel, McKenzie</creatorcontrib><creatorcontrib>Curfman, Karleigh R.</creatorcontrib><creatorcontrib>Nannapaneni, Siddhartha R.</creatorcontrib><creatorcontrib>Patel, Nilesh</creatorcontrib><creatorcontrib>Duke, D’Arcy N.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Docstoc</collection><collection>University Readers</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Industrial and Applied Microbiology Abstracts (Microbiology A)</collection><collection>Virology and AIDS Abstracts</collection><collection>Technology Research Database</collection><collection>Environmental Sciences and Pollution Management</collection><collection>Engineering Research Database</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Nursing & Allied Health Premium</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>The American surgeon</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Warshel, McKenzie</au><au>Curfman, Karleigh R.</au><au>Nannapaneni, Siddhartha R.</au><au>Patel, Nilesh</au><au>Duke, D’Arcy N.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Minimally Invasive Surgery for Median Arcuate Ligament Syndrome and Celiac Artery Stenosis</atitle><jtitle>The American surgeon</jtitle><addtitle>Am Surg</addtitle><date>2023-05</date><risdate>2023</risdate><volume>89</volume><issue>5</issue><spage>2052</spage><epage>2055</epage><pages>2052-2055</pages><issn>0003-1348</issn><eissn>1555-9823</eissn><abstract>Median arcuate ligament syndrome (MALS) is a pathology commonly reported in educational literature, although in reality it is scarcely seen. Herein, we present the case of a 48-year-old female patient who presented with nausea, vomiting, and unintentional weight loss. After thorough work up of her symptoms through a variety of different modalities, MALS was confirmed and she underwent surgical release via a minimally invasive approach. The authors of this article feel that this case is important to present due to paucity of reported cases in the literature. In addition, this patient was exceptionally unique to report as we selected to perform a slight adaptation of a minimally invasive approach, while there are multiple different treatment techniques and management plans that have previously been described in a variety of different literatures and require further discussion.</abstract><cop>Los Angeles, CA</cop><pub>SAGE Publications</pub><pmid>34049461</pmid><doi>10.1177/00031348211023445</doi><tpages>4</tpages></addata></record> |
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| subjects | Abdomen Celiac Artery - surgery Constriction, Pathologic - etiology Constriction, Pathologic - surgery Dissection Female Humans Ischemia Laparoscopy Laparotomy Ligaments Median Arcuate Ligament Syndrome - complications Median Arcuate Ligament Syndrome - diagnosis Median Arcuate Ligament Syndrome - surgery Medical imaging Middle Aged Minimally invasive surgery Minimally Invasive Surgical Procedures Narcotics Nausea Pain Pathology Patients Stenosis Surgery Tomography Ultrasonic imaging Veins & arteries Vomiting Weight loss |
| title | Minimally Invasive Surgery for Median Arcuate Ligament Syndrome and Celiac Artery Stenosis |
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