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 journalArticle

2 Citations (Scopus)

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 languageEnglish (US)
Pages (from-to)76-78
Number of pages3
JournalA&A practice
Volume11
Issue number3
DOIs
StatePublished - Aug 1 2018
Externally publishedYes

Fingerprint

Celiac Plexus
Abdominal Pain
Celiac Artery
Chronic Pain
Weight Loss
Celiac Artery Stenosis from Compression by Median Arcuate Ligament of Diaphragm

ASJC Scopus subject areas

  • Medicine(all)

Cite this

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

In: A&A practice, Vol. 11, No. 3, 01.08.2018, p. 76-78.

Research output: Contribution to journalArticle

@article{c528aa3ef7e14d96b038966d125c9c90,
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}",
year = "2018",
month = "8",
day = "1",
doi = "10.1213/XAA.0000000000000743",
language = "English (US)",
volume = "11",
pages = "76--78",
journal = "A&A practice",
issn = "2325-7237",
publisher = "Lippincott Williams and Wilkins",
number = "3",

}

TY - JOUR

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.

UR - http://www.scopus.com/inward/record.url?scp=85058451812&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85058451812&partnerID=8YFLogxK

U2 - 10.1213/XAA.0000000000000743

DO - 10.1213/XAA.0000000000000743

M3 - Article

C2 - 29634547

AN - SCOPUS:85058451812

VL - 11

SP - 76

EP - 78

JO - A&A practice

JF - A&A practice

SN - 2325-7237

IS - 3

ER -