Barron-Cervantes Natalia M, Martinez-Esteban Alejandro, Gardner-Hilbert Erik F, Villegas-Tovar Eduardo, Faes-Petersen Regina, D G Gidi Alejandro
General and Gastrointestinal Surgery Service, Fundación Clínica Médica Sur, Mexico City, MEX.
General and Gastrointestinal Surgery Service, Fundación Clínica Medica Sur, Mexico City, MEX.
Cureus. 2024 Aug 15;16(8):e66933. doi: 10.7759/cureus.66933. eCollection 2024 Aug.
Median arcuate ligament syndrome (MALS), also known as Dunbar syndrome, is a rare but significant cause of chronic abdominal pain resulting from the extrinsic compression of the celiac trunk. This condition typically manifests with symptoms such as postprandial pain, nausea, vomiting, and weight loss, often leading to a diagnostic challenge due to its mimicry of other abdominal disorders. Diagnosis is based on exclusion and requires a high index of suspicion combined with precise imaging findings. This case report presents a 44-year-old female patient presenting with chronic abdominal pain, diaphoresis, and nausea, underscoring the complexity and diagnostic challenge of MALS, highlighting the significance of early intervention to mitigate morbidity and novelty treatment utilizing robotic-assisted surgical techniques. This report aims to contribute to the understanding of clinical presentations, diagnostic challenges, and treatment modalities of Dunbar syndrome, especially the option of minimally invasive robotic-assisted surgery for the treatment of this condition.
正中弓状韧带综合征（MALS），也称为邓巴综合征，是一种由腹腔干外在压迫导致慢性腹痛的罕见但重要病因。这种病症通常表现为餐后疼痛、恶心、呕吐和体重减轻等症状，由于其症状与其他腹部疾病相似，常常给诊断带来挑战。诊断基于排除法，需要高度的怀疑指数并结合精确的影像学表现。本病例报告介绍了一名44岁女性患者，其表现为慢性腹痛、多汗和恶心，强调了MALS的复杂性和诊断挑战，突出了早期干预以减轻发病率的重要性以及利用机器人辅助手术技术进行新颖治疗的情况。本报告旨在促进对邓巴综合征的临床表现、诊断挑战和治疗方式的理解，特别是关于采用微创机器人辅助手术治疗这种病症的选择。
