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LAPAROSCOPIC MEDIAN ARCUATE LIGAMENT RELEASE
Hillary B. Prince*1, Anthony Vine1, Joseph Maklansky2
1Surgery, Icahn School of Medicine at Mount Sinai, New York, NY; 2Radiology, Icahn School of Medicine at Mount Sinai, New York, NY

Introduction: Median arcuate ligament syndrome (MALS) is a rare condition caused by compression of the celiac axis by the median arcuate ligament (MAL). It is a diagnosis of exclusion, and thorough workup must be performed. We present a case in which we performed laparoscopic MAL release (LMALR) in a patient with MALS.

Methods: 36yo healthy F presented with 3-mo history of epigastric pain. Extensive workup did not reveal intra-abdominal pathology; however, MRA Abd showed compression of the celiac axis, consistent with MALS. She was referred for surgery.

Results: The patient underwent LMALR and was asymptomatic 4 weeks post-op.

Conclusion: LMALR is a safe and effective approach for MALS.


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