Sunkara Tagore, Caughey Megan E, Zhen Kevin Cai, Chiong Brian, Gaduputi Vinaya
Gastroenterology Fellow, Department of Gastroenterology, The Brooklyn Hospital Center, Brooklyn, New York, USA.
Medical Student, Department of Gastroenterology, SBH Health System, Bronx, New York, USA.
J Clin Diagn Res. 2017 Jul;11(7):OD13-OD14. doi: 10.7860/JCDR/2017/28142.10267. Epub 2017 Jul 1.
Median Arcuate Ligament Syndrome (MALS) is a condition that can result from an anatomical aberration. If the median arcuate ligament is located too inferiorly in relation to the celiac axis, it can impede circulation and lead to vascular compromise. Here, we present the case of a 63-year-old woman, who came to the hospital complaining of continuous epigastric pain and who was ultimately found to have MALS. Her epigastric pain could be the result of the ischemia caused by MALS that made it difficult for the duodenal ulcer to heal properly. This case report documents an unusual presentation of an already rare condition.
正中弓状韧带综合征(MALS)是一种可由解剖变异引起的病症。如果正中弓状韧带相对于腹腔干位置过低,可能会阻碍血液循环并导致血管受压。在此,我们报告一例63岁女性病例,该患者因持续上腹部疼痛前来医院就诊,最终被诊断为MALS。她的上腹部疼痛可能是由MALS导致的缺血引起的,这使得十二指肠溃疡难以正常愈合。本病例报告记录了一种本就罕见病症的不寻常表现。