Celiac Plexus Block as a Predictor of Surgical Outcome for Sympathetically Mediated Abdominal Pain in a Case of Suspected Median Arcuate Ligament Syndrome: A Case Report

Zhuo Sun; David A. Fritz; Suzanne Turner; David M. Hardy; Steffen E Meiler; Dan C. Martin; Anterpreet Singh Dua

doi:10.1213/XAA.0000000000000743

Celiac Plexus Block as a Predictor of Surgical Outcome for Sympathetically Mediated Abdominal Pain in a Case of Suspected Median Arcuate Ligament Syndrome: A Case Report

Zhuo Sun, David A. Fritz, Suzanne Turner, David M. Hardy, Steffen E Meiler, Dan C. Martin, Anterpreet Singh Dua

Research output: Contribution to journal › Article › peer-review

7 Scopus citations

Abstract

Median arcuate ligament syndrome (MALS), also known as celiac artery compression syndrome, is an uncommon condition classically characterized by chronic abdominal pain, weight loss, and abdominal bruit. Chronic mesenteric ischemia caused by intermittent compression of the celiac artery by the MAL provokes upper abdominal pain that is sympathetically mediated via the celiac plexus. Because it is a diagnosis of exclusion, diagnosis of MALS in the clinical setting is typically challenging. We present an atypical case which highlights the utility of celiac plexus block as both an assistant diagnostic tool and a predictor of surgical outcomes for suspected MALS.

Original language	English (US)
Pages (from-to)	76-78
Number of pages	3
Journal	A&A practice
Volume	11
Issue number	3
DOIs	https://doi.org/10.1213/XAA.0000000000000743
State	Published - Aug 1 2018
Externally published	Yes

ASJC Scopus subject areas

Medicine(all)

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10.1213/XAA.0000000000000743

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title = "Celiac Plexus Block as a Predictor of Surgical Outcome for Sympathetically Mediated Abdominal Pain in a Case of Suspected Median Arcuate Ligament Syndrome: A Case Report",

abstract = "Median arcuate ligament syndrome (MALS), also known as celiac artery compression syndrome, is an uncommon condition classically characterized by chronic abdominal pain, weight loss, and abdominal bruit. Chronic mesenteric ischemia caused by intermittent compression of the celiac artery by the MAL provokes upper abdominal pain that is sympathetically mediated via the celiac plexus. Because it is a diagnosis of exclusion, diagnosis of MALS in the clinical setting is typically challenging. We present an atypical case which highlights the utility of celiac plexus block as both an assistant diagnostic tool and a predictor of surgical outcomes for suspected MALS.",

author = "Zhuo Sun and Fritz, {David A.} and Suzanne Turner and Hardy, {David M.} and Meiler, {Steffen E} and Martin, {Dan C.} and Dua, {Anterpreet Singh}",

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doi = "10.1213/XAA.0000000000000743",

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T1 - Celiac Plexus Block as a Predictor of Surgical Outcome for Sympathetically Mediated Abdominal Pain in a Case of Suspected Median Arcuate Ligament Syndrome

T2 - A Case Report

AU - Sun, Zhuo

AU - Fritz, David A.

AU - Turner, Suzanne

AU - Hardy, David M.

AU - Meiler, Steffen E

AU - Martin, Dan C.

AU - Dua, Anterpreet Singh

PY - 2018/8/1

Y1 - 2018/8/1

N2 - Median arcuate ligament syndrome (MALS), also known as celiac artery compression syndrome, is an uncommon condition classically characterized by chronic abdominal pain, weight loss, and abdominal bruit. Chronic mesenteric ischemia caused by intermittent compression of the celiac artery by the MAL provokes upper abdominal pain that is sympathetically mediated via the celiac plexus. Because it is a diagnosis of exclusion, diagnosis of MALS in the clinical setting is typically challenging. We present an atypical case which highlights the utility of celiac plexus block as both an assistant diagnostic tool and a predictor of surgical outcomes for suspected MALS.

AB - Median arcuate ligament syndrome (MALS), also known as celiac artery compression syndrome, is an uncommon condition classically characterized by chronic abdominal pain, weight loss, and abdominal bruit. Chronic mesenteric ischemia caused by intermittent compression of the celiac artery by the MAL provokes upper abdominal pain that is sympathetically mediated via the celiac plexus. Because it is a diagnosis of exclusion, diagnosis of MALS in the clinical setting is typically challenging. We present an atypical case which highlights the utility of celiac plexus block as both an assistant diagnostic tool and a predictor of surgical outcomes for suspected MALS.

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Celiac Plexus Block as a Predictor of Surgical Outcome for Sympathetically Mediated Abdominal Pain in a Case of Suspected Median Arcuate Ligament Syndrome: A Case Report

Abstract

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