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

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

ASJC Scopus subject areas

  • Medicine(all)

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