Karabicak Ilhan, Satoi Sohei, Yanagimoto Hiroaki, Yamamoto Tomohisa, Hirooka Satoshi, Yamaki So, Kosaka Hisashi, Kotsuka Masaya, Inoue Kentoro, Matsui Yoichi, Kon Masanori
Department of Surgery, Kansai Medical University, 2-5-1, Shin-machi, Hirakata, Osaka, 573-1010, Japan.
Surg Case Rep. 2016 Dec;2(1):113. doi: 10.1186/s40792-016-0242-6. Epub 2016 Oct 15.
Median arcuate ligament syndrome (MALS) has been reported in 2-7.6 % of patients undergoing pancreaticoduodenectomy (PD). Most of the reported cases of MALS have been diagnosed perioperatively and treated radiologically or surgically before or during PD. MALS can have an acute postoperative onset after PD even if all preoperative and intraoperative evaluations are normal particularly in young patients.In this report, we present a second case of severe hepatic cytolysis secondary to MALS that developed acutely and the first patient who required acute division of the median arcuate ligament after PD.
在接受胰十二指肠切除术（PD）的患者中，已报告的正中弓状韧带综合征（MALS）发生率为2%至7.6%。大多数已报告的MALS病例是在围手术期诊断出来的，并在PD术前或术中接受了放射治疗或手术治疗。即使所有术前和术中评估均正常，MALS在PD术后也可能急性发作，尤其是在年轻患者中。在本报告中，我们介绍了第二例继发于MALS的严重肝细胞溶解急性发作的病例，以及第一例PD术后需要急性切断正中弓状韧带的患者。
