{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,10]],"date-time":"2026-03-10T19:37:30Z","timestamp":1773171450650,"version":"3.50.1"},"reference-count":9,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2021,6,9]],"date-time":"2021-06-09T00:00:00Z","timestamp":1623196800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2021,6,9]],"date-time":"2021-06-09T00:00:00Z","timestamp":1623196800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["surg case rep"],"published-print":{"date-parts":[[2021,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>Median arcuate ligament syndrome (MALS), which results from compression of the median arcuate ligament (MAL), is a rare cause of abdominal pain and weight loss. Treatment is dissection of the MAL; however, the laparoscopic procedure is not yet established and it involves the risk of major vascular injury, especially in cases with an anomaly.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Case presentation<\/jats:title>\n                <jats:p>A 47-year-old man was evaluated at the hospital for epigastric pain. Contrast computed tomography scan revealed stenosis of the celiac artery origin due to the MAL. An Adachi V type vascular anomaly was also observed. Laparoscopic treatment was performed to release pressure on the celiac artery. Laparoscopic ultrasonography was used to less invasively confirm the release of the MAL. Despite a concomitant Adachi V type vascular anomaly, surgery was safely performed using the laparoscopic magnification view and intraoperative ultrasonography. Follow-up ultrasonography confirmed the celiac artery stenosis has not recurred.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>A rare case of MALS with an Adachi V type vascular anomaly is presented and the laparoscopic treatment is detailed.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s40792-021-01226-3","type":"journal-article","created":{"date-parts":[[2021,6,9]],"date-time":"2021-06-09T09:04:35Z","timestamp":1623229475000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Laparoscopic treatment for celiac artery stenosis caused by median arcuate ligament compression with Adachi V type vascular anomaly: a case report"],"prefix":"10.1186","volume":"7","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2514-994X","authenticated-orcid":false,"given":"Hiroshi","family":"Saito","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Koichiro","family":"Sawada","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jyunichi","family":"Ogawa","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Masashi","family":"Hashimoto","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Masahiro","family":"Oshima","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Masahiro","family":"Hada","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yosuke","family":"Kato","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kaeko","family":"Oyama","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Masanori","family":"Kotake","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takuo","family":"Hara","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2021,6,9]]},"reference":[{"key":"1226_CR1","doi-asserted-by":"publisher","first-page":"731","DOI":"10.2214\/ajr.95.3.731","volume":"95","author":"JD Dunbar","year":"1965","unstructured":"Dunbar JD, Molnar W, Beman FF, et al. Compression of the celiac trunk and abdominal angina. Am J Roentgenol Radium Ther Nucl Med. 1965;95:731\u201344.","journal-title":"Am J Roentgenol Radium Ther Nucl Med"},{"key":"1226_CR2","doi-asserted-by":"publisher","first-page":"735","DOI":"10.1259\/bjr\/43571095","volume":"81","author":"NE Manghat","year":"2008","unstructured":"Manghat NE, Mitchell G, Hay SC, et al. The median arcuate ligament syndrome revisited by CT angiography and the use of ECG gating-a single centre case series and literature review. Br J Radiol. 2008;81:735\u201342.","journal-title":"Br J Radiol"},{"key":"1226_CR3","doi-asserted-by":"publisher","first-page":"197","DOI":"10.1186\/s40792-019-0758-7","volume":"5","author":"H Okada","year":"2019","unstructured":"Okada H, Ehara K, Ro H, et al. Laparoscopic treatment in a patient with median arcuate ligament syndrome identified at the onset of superior mesenteric artery dissection: a case report. Surg Case Rep. 2019;5:197.","journal-title":"Surg Case Rep"},{"issue":"4","key":"1226_CR4","doi-asserted-by":"publisher","first-page":"814","DOI":"10.1067\/mva.2000.107574","volume":"32","author":"S Roayaie","year":"2000","unstructured":"Roayaie S, Jossart G, Gitlitz D, et al. Laparoscopic release of celiac artery compression syndrome facilitated by laparoscopic ultrasound scanning to confirm restoration of flow. J Vasc Surg. 2000;32(4):814\u20137.","journal-title":"J Vasc Surg"},{"key":"1226_CR5","first-page":"547","volume":"52","author":"PT Harjola","year":"1963","unstructured":"Harjola PT. A rare obstruction of the coeliac artery; report of a case. Ann Chir Gynaecol Fenn. 1963;52:547\u201350.","journal-title":"Ann Chir Gynaecol Fenn"},{"issue":"2","key":"1226_CR6","doi-asserted-by":"publisher","first-page":"108","DOI":"10.5582\/irdr.2019.01031","volume":"8","author":"Z Sun","year":"2019","unstructured":"Sun Z, Zhang D, Xu G, et al. Laparoscopic treatment of median arcuate ligament syndrome. IRDR. 2019;8(2):108\u201312.","journal-title":"IRDR"},{"key":"1226_CR7","doi-asserted-by":"publisher","first-page":"778","DOI":"10.1016\/j.avsg.2008.11.005","volume":"23","author":"AJ Duffy","year":"2009","unstructured":"Duffy AJ, Panait L, Eisenberg D, et al. Management of median arcuate ligament syndrome: a new paradigm. Ann Vasc Surg. 2009;23:778\u201384.","journal-title":"Ann Vasc Surg"},{"key":"1226_CR8","doi-asserted-by":"publisher","first-page":"124","DOI":"10.1016\/j.jvs.2008.12.078","volume":"50","author":"S Glen","year":"2009","unstructured":"Glen S. Roseborough: laparoscopic management of celiac artery compression syndrome. J Vasc Surg. 2009;50:124\u201333.","journal-title":"J Vasc Surg"},{"key":"1226_CR9","first-page":"20","volume-title":"Das Arteriensystem der Japaner, Bd, II","author":"B Adachi","year":"1928","unstructured":"Adachi B, Hasebe K. Das Arteriensystem der Japaner, Bd, II. Kyoto: Maruzen; 1928. p. 20\u201346."}],"container-title":["Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s40792-021-01226-3.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s40792-021-01226-3\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s40792-021-01226-3.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,6,9]],"date-time":"2021-06-09T09:07:23Z","timestamp":1623229643000},"score":1,"resource":{"primary":{"URL":"https:\/\/surgicalcasereports.springeropen.com\/articles\/10.1186\/s40792-021-01226-3"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,6,9]]},"references-count":9,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2021,12]]}},"alternative-id":["1226"],"URL":"https:\/\/doi.org\/10.1186\/s40792-021-01226-3","relation":{},"ISSN":["2198-7793"],"issn-type":[{"value":"2198-7793","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,6,9]]},"assertion":[{"value":"2 May 2021","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"3 June 2021","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"9 June 2021","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"No applicable.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Informed consent was obtained from the patients for the publication of this case report.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"140"}}