Median Arcuate Ligament Syndrome Masquerading as Functional Abdominal Pain Syndrome.

Median arcuate ligament syndrome refers to anatomical compression of the celiac artery and/or ganglion by fibrous attachments of the median arcuate ligament. It typically presents as a vague constellation of abdominal symptoms that are often initially attributed to various other gastrointestinal pathologies; thus, it can be very difficult to diagnose. We present a case of median arcuate ligament syndrome in a 68-year-old woman, whose diagnosis and treatment were delayed by many years as her symptoms were taught to be the result of functional abdominal pain syndrome, ultimately corrected by laparoscopic decompression of the celiac axis.

Celiac Artery Compression Syndrome in a Middle-age Woman Treated Laparoscopically.

Celiac artery compression syndrome is an anatomic compression of the celiac axis by the median arcuate ligament. Patients often present with postprandial pain, as well as symptoms of gastroparesis. It is usually a diagnosis of exclusion.

Retained Gallstone Presenting as Large Intra-abdominal Mass Four Years after Laparoscopic Cholecystectomy.

Gallstone spillage is a common intraoperative event during laparoscopic cholecystectomy (LC). Patients present months to years with nonspecific symptoms after the original procedure. The complications of retained peritoneal gallstones are infrequent.

Early hospital readmission after bariatric surgery.

Background: With the rise in bariatric procedures being performed nationwide and the growing focus on quality and outcome measures, reducing early hospital readmission (EHR) rates has garnered great clinical interest. The aim of this study was to identify the incidence, reasons, and risk factors for EHR after bariatric surgery.

Methods: Using American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) dataset (2012-2013), patients with a diagnosis of obesity and body mass index ≥35 who underwent bariatric surgery were identified.