COMBINED LAPAROSCOPIC MEDIAN ARCUATE LIGAMENT RELEASE AND HELLER MYOTOMY WITH INTRAOPERATIVE ULTRASOUND AND FLIP
Amy Holmstrom*, Ryan J. Campagna, Ezra Teitelbaum, Eric S. Hungness
Northwestern Memorial Hospital, Chicago, IL
We present the case of a 60 year old woman who presented with one year of progressive dysphagia and regurgitation. Her workup included a CT scan that demonstrated celiac artery narrowing and a follow-up mesenteric ultrasound was concerning for median arcuate ligament syndrome. Additionally, she was found to have type 1 achalasia based on endoscopy, manometry, and timed barium esophagram. To simultaneously address both of these diagnoses, she elected to undergo combined laparoscopic median arcuate ligament release and heller myotomy with toupet fundoplication.
Back to 2020 Abstracts