What is medium arcuate ligament syndrome?

It is a rare condition caused by the middle arcuate ligament compressing the celiac trunk, which connects the pillars of the diaphragm, causing abdominal cramps in some cases.

Although the origin of medium arcuate ligament syndrome is unknown, certain conditions can favor its development, such as:

Genetics.
Blow to the upper part of the stomach.
Pancreas surgery.

Also known as celiac artery compression, celiac axis syndrome, or Dunbar syndrome, medium arcuate ligament syndrome can appear at any age, even in babies.

Signs and symptoms medium arcuate ligament syndrome

Swollen abdomen.
Abdominal pain.
Stomach pain after eating, exercising, or changing posture.
Diarrhea.
Constipation.
Nausea.
Rapid weight loss.
Abdominal murmur (occasionally).
Vomit.

Medium arcuate ligament syndrome risks and complications include:

Permanent chronic pain, especially after eating.
Anxiety.
Depression.
Fear of eating due to intense pain.

Diagnosis and treatment medium arcuate ligament syndrome

Diagnosis is complex because the symptoms can be confused with other conditions, so the doctor will analyze your symptoms and clinical history, perform a physical examination, and request a series of tests to confirm that it is indeed medium arcuate ligament syndrome, such as:

Ultrasound.
Endoscopy.
Gastric emptying tests.
Blood tests.
MRI.
Computed tomography.

Medium arcuate ligament syndrome treatment involves a surgical procedure to decompress the ligament, restore blood flow through the artery, and relieve pressure on the nerves.

In ABC Medical Center Internal Medicine Department, we provide you with health care services with the highest quality and safety, from prevention, diagnosis, timely treatment, and follow-up of infectious, respiratory, endocrinological, dermatological, rheumatic, nephrological, gastrointestinal, and hematological conditions, both chronic-degenerative and acute, through a comprehensive and multidisciplinary model.

Related centers and departments

Internal Medicine
Radiology and Molecular Imaging
Clinical Laboratory

Fuentes:

sapd.es
intramed.net
nih.gov
elsevier.es
middlesexhealth.org
analesderadiologiamexico.com
mayoclinic.org
medigraphic.com
De la Concha TM, Lara RRI, Ramírez GVA, et al. medium arcuate ligament syndrome Rev Fac Med UNAM. 2021;64(4):25–30.
Cárdenas QMF, Rojas CS. Síndrome del ligamento arcuato medio, una patología a tomar en cuenta. Revista Médica Sinergia. 2019;4(04):12-17.
López CJA, Vera KAC, Plasencia CE, et al. Manejo laparoscópico del síndrome del ligamento arcuato medio, como causa de dolor abdominal crónico. Reporte de caso. Rev Mex Cir Endoscop. 2018;19(4):176-179.
Pozzo-Salvatierra BL, Kimura-Fujikami K. Síndrome de compresión del ligamento arcuato medio en angiotomografía computada multicorte. Annals of Radiology Mexico. 2014;13(2):171-175.

How can we help you?

The dissemination of the content of this material is for informational purposes only and does not replace, under any circumstance or condition, a consultation with a specialist doctor, for which the ABC Medical Center is not responsible for the different use that may be given to it. If you require more information related to the subject, we suggest you contact the specialist doctor you trust directly.

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Comparison of COVID-19 vaccines

Pfizer-
BioNTech

Pfizer-BioNTech

What is its effectiveness and what does it refer to?

Vaccine type: mRNA
Effectiveness: 95% after the second dose in the prevention of symptomatic COVID-19.

No Does not contain egg, latex, or preservatives.

How many doses are needed?
Two doses are needed, at least 21 days apart (or up to six weeks apart, if necessary).

Who should or shouldn’t get the vaccine?
People who should receive the vaccine are those over 16 years old.
People who should not receive the vaccine are those who have a history of anaphylactic shock (severe allergy) or who are allergic to any component of this vaccine such as polyethylene glycol (PEG) or polysorbate.

What are the possible side effects of the vaccine?
Pain where the injection was given, fatigue, headache, muscle pain, chills, joint pain, fever, nausea, malaise, and swollen lymph nodes.

How long will it take for me to be protected and what does it protect me from?
After 14 days of having the complete scheme (after the administration of the 2nd dose), the protection period is still under study. It protects us from serious COVID-19 or requiring hospitalization.

Moderna

What is its effectiveness and what does it refer to?

Vaccine type: mRNA
Effectiveness: 94.5% after the second dose in the prevention of symptomatic COVID-19.

Does not contain egg, latex, or preservatives.

How many doses are needed?
Two doses are needed, at least 28 days apart (or up to six weeks apart, if necessary).

Who should or shouldn’t get the vaccine?
People who should receive the vaccine are those over 18 years old.
People who should not receive the vaccine are those who have a history of anaphylactic shock (severe allergy) or who are allergic to any component of this vaccine.

What are the possible side effects of the vaccine?
Pain where the injection was given, fatigue, headache, muscle pain, chills, joint pain, fever, nausea, and swollen lymph nodes in the arm in which you received the injection.

Janssen/
Johnson
& Johnson

Janssen/ Johnson & Johnson

What is its effectiveness and what does it refer to?

Vector-based vaccine.
Effectiveness: 72.0% in the prevention of symptomatic COVID-19.
85% in the prevention of severe COVID-19.

Does not contain egg, latex, or preservatives./strong>

How many doses are needed?
Only one dose in needed.

What are the possible side effects of the vaccine?
Pain where the injection was given, headache, fatigue, muscle pain, chills, fever, and nausea.

How long will it take for me to be protected and what does it protect me from?
After 28 days of having the complete scheme (the last dose applied), the protection period is still under study. It protects us from 85% serious COVID-19 or requiring hospitalization.

AstraZeneca
and
Oxford
University

AstraZeneca and Oxford University

What is its effectiveness and what does it refer to?

Adenovirus vector-based vaccine.
Effectiveness: 82% after the second dose in the prevention of symptomatic COVID-19.

How many doses are needed?
Two doses are needed, at least 56 days apart (or up to 84 days apart, if necessary).

What are the possible side effects of the vaccine?
Pain where the injection was given, fatigue, headache, myalgia, arthralgia, and fever, which were mild to moderate in intensity and disappeared within 48 hours of vaccination.

Sputnik V

What is its effectiveness and what does it refer to?

Adenovirus vector-based vaccine.
Effectiveness: 92% after the second dose in the prevention of symptomatic COVID-19.

How many doses are needed?
Two doses are needed, at least 21 days apart (or up to six weeks apart, if necessary).

What is medium arcuate ligament syndrome?

Signs and symptoms medium arcuate ligament syndrome

Diagnosis and treatment medium arcuate ligament syndrome

Related centers and departments

Fuentes:

Index

Specialist in medium arcuate ligament syndrome