• Hawaii J Med Public Health · Aug 2013

    Case Reports

    Treatment of median arcuate ligament syndrome via traditional and robotic techniques.

    • Jae S You, Matthew Cooper, Steven Nishida, Elna Matsuda, and Daniel Murariu.
    • John A. Burns School of Medicine, University of Hawai'i, Honolulu, HI.
    • Hawaii J Med Public Health. 2013 Aug 1;72(8):279-81.

    AbstractMedian arcuate ligament syndrome (MALS) is a rare entity characterized by extrinsic compression of the celiac artery and symptoms of postprandial epigastric pain, nausea, vomiting, and weight loss mimicking mesenteric ischemia. We present two patients diagnosed with MALS, the first treated with an open laparotomy by a vascular surgeon and the second using a robot assisted laparoscopic approach by a general surgeon with a vascular surgeon on standby. This is the second ever report of this approach. Both patients recovered without complications and experienced resolution of their symptoms. A discussion of the pathophysiology, literature review, and multispecialty treatment approach are presented.

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