Laparoscopic Treatment of Median Arcuate Ligament Syndrome

Ricardo Nassar, MD, Juan Hernandez, MD, Eduardo Londono, MD, Alberto Munoz, MD, Maria Rizo, MD, Juan Linares, MD. Hospital Universitario Fundacion Santa Fe de Bogota



Median arcuate ligament syndrome is a rare clinicopathological entity also called celiac axis compression. Although several treatment options have been described, the classic surgical management includes open division of the median arcuate ligament.


To show the case of a male patient with median arcuate ligament syndrome and the laparoscopic management of the patient and results.


Present a case report of a 52 years old male patient presenting with chronic postprandial abdominal pain, decreased appetite, bloating, and progressive weight loss. Other pathologies were ruled out. Computed tomography and angiography of mesenteric vessels demonstrated celiac axis compression, a finding consistent with the median arcuate ligament syndrome.


Patient was taken to surgery by laparoscopic technique. The arcuate ligament was exposed and divided.

There were no immediate complications and the patient tolerated food without pain, and was discharged on third postoperative day. On follow up there is full resolution of symptoms and no complications have appeared after 24 months.


Median arcuate ligament syndrome is a rare clinicopathological entity, with different treatment options. The laparoscopic technique had show good results and relief of the symptoms.

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