Robotic-assisted release of the median arcuate ligament: A case report

Median arcuate ligament syndrome (MALS) is a rare clinical condition caused by extrinsic compression of the celiac artery by the median arcuate ligament of the diaphragm. Clinically, patients typically present with postprandial epigastric pain, nausea, vomiting, and progressive weight loss. Diagnosis requires findings of celiac artery compression using appropriate imaging modalities. The primary goal of treatment is surgical release of the median arcuate ligament to relieve compression of the celiac artery. In this case report, we present the robotic surgical management of a patient with MALS.

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Publication Details

Journal
Turkish Journal of Thoracic and Cardiovascular Surgery
Published
2026-06-30
DOI
https://doi.org/10.4274/tjtcs.2026.2026-1-36
Primary Topic
Abdominal vascular conditions and treatments
Type
article
Field-Weighted Citation Impact
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article

Robotic-assisted release of the median arcuate ligament: A case report

Mehmet Şengör, Ünal Aydın
Turkish Journal of Thoracic and Cardiovascular Surgery
Abdominal vascular conditions and treatments
article

Robotic-assisted release of the median arcuate ligament: A case report

Mehmet Şengör, Ünal Aydın
article en

Abstract

Median arcuate ligament syndrome (MALS) is a rare clinical condition caused by extrinsic compression of the celiac artery by the median arcuate ligament of the diaphragm. Clinically, patients typically present with postprandial epigastric pain, nausea, vomiting, and progressive weight loss. Diagnosis requires findings of celiac artery compression using appropriate imaging modalities. The primary goal of treatment is surgical release of the median arcuate ligament to relieve compression of the celiac artery. In this case report, we present the robotic surgical management of a patient with MALS.

Turkish Journal of Thoracic and Cardiovascular Surgery
Bezmiâlem Vakıf Üniversitesi (TR)
Good health and well-being
Openalex Percentile: Top 6%
Abdominal vascular conditions and treatments
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