International Journal of STD & AIDS > Volume 20, Number 3 > Pp. 209-210

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Case reports

Minimally invasive approach to median arcuate ligament syndrome in a patient with HIV/AIDS

K Mirkia MD  ^* and B Subin MD 

^* Department of Surgery, Division of Trauma, Critical Care and Emergency Surgery; Department of Anesthesia, Sunrise Hospital and Medical Center and Children's Hospital, 3196 South Maryland Parkway, Suite 101, Las Vegas, NV 89109, USA

Correspondence to: Dr Kiarash Mirkia Email: kmirkia{at}lumc.edu; kmirkia67{at}gmail.com

Mesenteric ischaemia is most commonly caused by atherosclerotic disease, but extrinsic compression on the coeliac axis (CA) can also lead to similar symptoms as mesenteric ischaemia. This is usually created by the pressure of the fibrous diaphragm on the CA, which can cause abdominal pain and weight loss referred to as ‘median arcuate ligament syndrome’. This syndrome is not typically associated with any underlying disease process. This is the first case describing median arcuate ligament syndrome in a young man with a history of HIV/AIDS, who successfully underwent minimally invasive procedure as a therapeutic modality for his condition.

Key Words: Mesenteric ischaemia • coeliac axis stenosis • median arcuate ligament syndrome • minimally invasive techniques, laparoscopy, HIV, AIDS, CT angiography

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