Benjamin O Brandeis, Josiah Hardy, Stephen Kavic, Khanjan Nagarsheth
{"title":"COVID-19-Associated Median Arcuate Ligament Syndrome.","authors":"Benjamin O Brandeis, Josiah Hardy, Stephen Kavic, Khanjan Nagarsheth","doi":"10.1177/00031348251351007","DOIUrl":null,"url":null,"abstract":"<p><p>Median arcuate ligament syndrome (MALS) is a rare disorder resulting from compression of the celiac artery and celiac ganglia which can lead to a myriad of symptoms including postprandial epigastric pain. The reason why some patients become symptomatic and others do not is still under investigation. We conducted a retrospective chart review of 7 patients who developed MALS symptoms approximately 1 month after infection with COVID-19. These patients all presented with abdominal pain which was temporarily relieved by celiac plexus block and most had multiple vascular compressions. Surgery provided symptomatic improvement for these patients. This suggests that patients who develop symptomatic MALS following an infection with COVID-19 should be considered for surgery and assessed for other vascular compressions.</p>","PeriodicalId":7782,"journal":{"name":"American Surgeon","volume":" ","pages":"1267-1269"},"PeriodicalIF":1.0000,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"American Surgeon","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1177/00031348251351007","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/6/17 0:00:00","PubModel":"Epub","JCR":"Q3","JCRName":"SURGERY","Score":null,"Total":0}
引用次数: 0
Abstract
Median arcuate ligament syndrome (MALS) is a rare disorder resulting from compression of the celiac artery and celiac ganglia which can lead to a myriad of symptoms including postprandial epigastric pain. The reason why some patients become symptomatic and others do not is still under investigation. We conducted a retrospective chart review of 7 patients who developed MALS symptoms approximately 1 month after infection with COVID-19. These patients all presented with abdominal pain which was temporarily relieved by celiac plexus block and most had multiple vascular compressions. Surgery provided symptomatic improvement for these patients. This suggests that patients who develop symptomatic MALS following an infection with COVID-19 should be considered for surgery and assessed for other vascular compressions.
期刊介绍：
The American Surgeon is a monthly peer-reviewed publication published by the Southeastern Surgical Congress. Its area of concentration is clinical general surgery, as defined by the content areas of the American Board of Surgery: alimentary tract (including bariatric surgery), abdomen and its contents, breast, skin and soft tissue, endocrine system, solid organ transplantation, pediatric surgery, surgical critical care, surgical oncology (including head and neck surgery), trauma and emergency surgery, and vascular surgery.
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
