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Case Reports
. 2013 Aug;85(2):93-5.
doi: 10.4174/jkss.2013.85.2.93. Epub 2013 Jul 25.

Open surgical decompression of celiac axis compression by division of the median arcuate ligament

Sang Jin Kim  1 , Yang Jin Park, Shin-Seok Yang, Young-Wook Kim
Affiliations
Case Reports

Open surgical decompression of celiac axis compression by division of the median arcuate ligament

Sang Jin Kim et al. J Korean Surg Soc. 2013 Aug.

Abstract

Median arcuate ligament syndrome is a rare cause of abdominal pain which results from compression of the celiac artery (CA) or rarely, the superior mesenteric artery by a ligament formed by the right and left crura of the diaphragm. We report a case of open surgical decompression of the CA by division of the median arcuate ligament for a 37-year-old female patient who had suffered from chronic postprandial epigastric pain and severe weight loss. We described clinical features, characteristic angiographic findings and details of the surgical procedure for the patient with this rare vascular problem.

Keywords: Celiac artery stenosis; Median arcuate ligament.

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Conflict of interest statement

No potential conflict of interest relevant to this article was reported.

Figures

Fig. 1
Fig. 1
Computed tomographic angiography: celiac trunk stenosis. Compression of celiac artery (CA) makes an acute angle of CA (arrow).
Fig. 2
Fig. 2
Operative finding. (A) Fibrous structure (in a vessel loop) compressing celiac artery (CA). (B) Mild residual stenosis (arrow) of CA after division of fibrous structure. CHA, common hepatic artery; SA, splenic artery.
Fig. 3
Fig. 3
Follow-up computed tomographic angiography. After surgical decompression of celiac artery (CA), downward angulation of CA disappeared (arrow).
See this image and copyright information in PMC

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