Sertaç Usta1, Koray Karabulut1, Hakan Artaş2


Median arcuate ligament syndrome is caused by the compression of the celiac artery by a fibrous band called the median ligament, which originates from the crus of diaphragm. The prevalence of Median arcuate ligament syndrome has been reported as 10%–24% among patients; however, the etiology is unclear. The components of the clinical triad include a chronic post-prandial pain, epigastric murmur, and weight loss. Diagnosis is based on clinical and radiological findings. Median arcuate ligament syndrome has been reported in a small portion of patients undergoing pancreaticoduodenectomy. Most patients have been diagnosed prior to surgery.

Keywords: Celiac artery stenosis, median arcuate ligament syndrome, pancreaticoduodenectomy

Cite this paper as: Usta S, Karabulut K, Artaş H. Median arcuate ligament syndrome during pancreaticoduodenectomy. Turk J Surg 2018; 10.5152/turkjsurg.2018.3989.

This study was presented at the “12th Biennial E-AHPBA Congress Congress’’, ‘’2017’’, ‘’Mainz, Germany’’.


Peer Review

Externally peer-reviewed.

Author Contributions

Concept - S.U.; Design - S.U.; Supervision - K.K.; Resource - S.U.; Materials - S.U.; Data Collection and/or Processing - S.U.; Analysis and/or Interpretation - S.U.; Literature Search - S.U.; Writing Manuscript - S.U.; Critical Reviews - K.K.; Other - S.U.

Conflict of Interest

The authors have no conflicts of interest to declare.

Financial Disclosure

The authors declared that this study has received no financial support.