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Standardized approach to median arcuate ligament syndrome and laparoscopic release: A case series.
Surg Pract Sci
September 2022
Division of Vascular Surgery, Department of Surgery, McMaster University, Hamilton, Ontario, Canada.
Background: Median arcuate ligament syndrome (MALS) is a rare disorder characterized by compression of the celiac axis. Recently, laparoscopic approaches to median arcuate ligament release (MALR) have been described. The purpose of this study is to evaluate our institutional experience and outcomes with laparoscopic MALR.
View Article and Find Full Text PDFMedian arcuate ligament syndrome: When to consider the diagnosis and management options.
Aust J Gen Pract
December 2024
MBBS, Senior Registrar, Department of Vascular Surgery, Princess Alexandra Hospital, Woolloongabba, Qld.
Background: Median arcuate ligament syndrome (MALS) occurs due to extrinsic compression of the coeliac plexus, leading to postprandial and exercise-induced epigastric pain, nausea, vomiting, food fear and weight loss. Diagnosis can be challenging as up to 25% of the population have radiological compression. However, only 1% of the population have corresponding symptoms.
View Article and Find Full Text PDFBackground: Fatigue is a highly prevalent symptom for individuals with polycystic ovary syndrome (PCOS); however, characterization of fatigue and investigation into the gut microbiome-a pathway that may contribute to fatigue-remains inadequately explored in Black women with PCOS.
Objectives: The purpose of this cross-sectional study was to examine fatigue and its relationship to the gut microbiome in adult Black women with PCOS.
Methods: Adult Black women with a diagnosis of PCOS were recruited for this cross-sectional study.
Dieulafoy lesion with rare vascular complications: diagnostic and therapeutic approach.
J Surg Case Rep
December 2024
Department of Radiology, Rafedia Hospital, Rafidia Main Street, Nablus, Palestine.
Dieulafoy lesions are a rare cause of gastrointestinal bleeding, characterized by an enlarged submucosal blood vessel that bleeds without visible abnormalities. The diagnosis is typically made via endoscopy, and treatment usually involves endoscopic therapy. This case involves a 46-year-old female who presented with upper gastrointestinal bleeding due to a Dieulafoy's lesion, treated with band ligation and later embolization after the lesion was found to originate from the left phrenic artery.
View Article and Find Full Text PDFEndovascular repair and management of a ruptured inferior pancreaticoduodenal artery aneurysm: A case report and literature review.
J Vasc Surg Cases Innov Tech
February 2025
Division of Vascular Surgery, Department of Surgery, The Mount Sinai Medical Center, New York, NY.
Inferior pancreaticoduodenal artery aneurysm (IPDA) with the stenosis of the celiac axis is rare and may cause rupture. A unique etiology of IPDAs with celiac stenosis is median arcuate ligament syndrome. These aneurysms develop as a result of the dilation of the arteries from the retrograde blood flow into the pancreaticoduodenal arches because of celiac artery compression by the median arcuate ligament.
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