Lake Erie College of Osteopathic Medicine, Erie, PA, USA.
Department of Surgery, Duke LifePoint, Conemaugh Memorial Medical Center, Johnstown, PA, USA.
Am Surg. 2023 May;89(5):2052-2055. doi: 10.1177/00031348211023445. Epub 2021 May 28.
Median arcuate ligament syndrome (MALS) is a pathology commonly reported in educational literature, although in reality it is scarcely seen. Herein, we present the case of a 48-year-old female patient who presented with nausea, vomiting, and unintentional weight loss. After thorough work up of her symptoms through a variety of different modalities, MALS was confirmed and she underwent surgical release via a minimally invasive approach. The authors of this article feel that this case is important to present due to paucity of reported cases in the literature. In addition, this patient was exceptionally unique to report as we selected to perform a slight adaptation of a minimally invasive approach, while there are multiple different treatment techniques and management plans that have previously been described in a variety of different literatures and require further discussion.
中位弓状韧带综合征（MALS）是教科书中常见的一种病理学，尽管实际上很少见。在此，我们介绍了一位 48 岁的女性患者，她出现了恶心、呕吐和非自愿性体重减轻。通过多种不同的方式对她的症状进行全面检查后，确认了 MALS，并通过微创方法进行了手术松解。本文作者认为，由于文献中报道的病例很少，因此提出这个病例很重要。此外，该患者非常独特，因为我们选择了对微创方法进行轻微的调整，而以前在各种不同的文献中已经描述了多种不同的治疗技术和管理方案，需要进一步讨论。
