Median arcuate ligament explained

Median arcuate ligament
Latin:ligamentum arcuatum medianum

The median arcuate ligament is a ligament under the diaphragm that connects the right and left crura of diaphragm.

Structure

The median arcuate ligament is formed by the right and left crura of the diaphragm.[1] The crura connect to form an arch, behind which is the aortic hiatus, through which pass the aorta, the azygos vein, and the thoracic duct.

Variation

In between 10% and 24% of people, the median arcuate ligament occurs very low.[2]

Clinical significance

Compression of celiac artery and celiac ganglia by the median arcuate ligament being too low in some individuals;[3] can lead to the median arcuate ligament syndrome, which is characterized by abdominal pain, weight loss, and an epigastric bruit.[4]

See also

External links

Notes and References

  1. Bayat I, Wang J, Ho P, Bird D . Intravascular ultrasound-guided laparoscopic division of the median arcuate ligament . Journal of Vascular Surgery Cases and Innovative Techniques . 6 . 1 . 147–151 . March 2020 . 32154471 . 7056607 . 10.1016/j.jvscit.2020.01.011 .
  2. Surrusco. Matthew S.. Michelotti. Marcos J.. Garberoglio. Carlos A.. Mukherjee. Kaushik. 2018-07-27. A Novel Approach to Median Arcuate Ligament Release Using Robot-Assisted Surgical Techniques and Intraoperative Indocyanine Green Angiography. Videoscopy. 28. 5. 10.1089/vor.2018.0540.
  3. Iqbal, S., & Chaudhary, M. (2021). Median arcuate ligament syndrome (Dunbar syndrome). Cardiovascular Diagnosis And Therapy, 11(5), 1172-1176. doi:10.21037/cdt-20-846
  4. Duncan AA . Median arcuate ligament syndrome . Current Treatment Options in Cardiovascular Medicine . 10 . 2 . 112–6 . April 2008 . 18325313 . 10.1007/s11936-008-0012-2 . 1606510 . dead . https://web.archive.org/web/20121204073128/http://treatment-options.com/1092-8464/10/112 . December 4, 2012 .