1. Síndrome del ligamento Arcuato.
- Author
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Sandoval Silva, Gabriel, Rojas Duarte, Marcelo, Segovia Rojas, Jorge, Pohl Vollmer, Emilio Tomás, Toro-Pérez, Javier, and Campos Gutiérrez, Alejandro
- Abstract
Arcuate ligament syndrome (ALS) is caused by extrinsic compression of the celiac trunk by the median arcuate ligament. It has an estimated incidence of 2 per 100,000 people, preferentially affecting female individuals in the age range of 30 and 50 years. The clinical feature of SLA can manifest with chronic postprandial abdominal pain, nausea and/or vomiting, weight loss and abdominal murmur, although there are patients who do not develop symptoms due to increased collateral circulation. The diagnosis of SLA is based on the presence of clinical symptoms, imaging findings, and the exclusion of other causes of abdominal pain. Within imaging techniques, magnetic resonance angiography (MRA) and computed tomography angiography (AngioCT) are the modalities of choice for the diagnosis of SLA. The management of SLA is surgical with the purpose of restoring the flow in the celiac trunk and whose approaches are described in this article. Finally, this pathology is a challenge for the specialist since the symptoms can be non-specific and overlap with other abdominal disorders, making diagnosis and management difficult. The preparation of this review article was based on the search for systematic reviews preferably less than 10 years of publication in scientific journals, using the words “arcuate ligament syndrome”, “celiac artery compression syndrome” and other related ones [ABSTRACT FROM AUTHOR]
- Published
- 2024
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