Maria Fonseca Mora, MD, Cristian Milla Matute, MD, Rene Aleman, MD, Armando Rosales, MD, Emanuele Lo Menzo, MD, Samuel Szomstein, MD, FACS, FASMBS, Raul Rosenthal, MD, FACS, FASMBS. Cleveland Clinic Florida
Median arcuate ligament syndrome is a rare entity and its diagnosis might be challenging. Associations between MALS and Hiatal hernia had been reported and attributed to the different anatomical distribution of muscular and tendinous structures. We present the case of a 63-year old male with a long-standing history of postprandial abdominal pain and diagnosed with median arcuate ligament syndrome, type I hiatal hernia and symptomatic inguinal hernia. Careful laparoscopic dissection of the median arcuate ligament and closure of the hiatal defect were performed in addition to transabdominal preperitoneal inguinal hernia repair. The patient was discharged with full resolution of symptoms and no further complications.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 95348
Program Number: V403
Presentation Session: Video Loop Day 4
Presentation Type: VideoLoop