Copyright
©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Feb 26, 2022; 10(6): 1991-1997
Published online Feb 26, 2022. doi: 10.12998/wjcc.v10.i6.1991
Published online Feb 26, 2022. doi: 10.12998/wjcc.v10.i6.1991
Median arcuate ligamentum syndrome: Four case reports
Ji Eun Kim, Poong Lyul Rhee, Division of Gastroenterology, Samsung Medical Center, Seoul 06351, South Korea
Author contributions: Rhee PL did study concept and design; Kim JE did data acquisition, drafting of the manuscript and critical revision of the manuscript for important intellectual content; all authors did approval of final manuscript.
Informed consent statement: All case participants provided informed written consent for publish.
Conflict-of-interest statement: No potential conflict of interest relevant to this article was reported.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Poong Lyul Rhee, PhD, Professor, Division of Gastroenterology, Samsung Medical Center, 81 Irwon-ro, Gangnam-gu, Seoul 06351, South Korea. plrhee@gmail.com
Received: August 23, 2021
Peer-review started: August 23, 2021
First decision: November 7, 2021
Revised: November 12, 2021
Accepted: January 19, 2022
Article in press: January 19, 2022
Published online: February 26, 2022
Peer-review started: August 23, 2021
First decision: November 7, 2021
Revised: November 12, 2021
Accepted: January 19, 2022
Article in press: January 19, 2022
Published online: February 26, 2022
Core Tip
Core Tip: A considerable number of median arcuate ligamentum syndrome patients are overlooked in the diagnosis of patients complaining of abdominal pain. They are unable to lead a normal life due to severe excruciating pain. However, without an accurate diagnosis, they are misunderstood as symptomatic gallstone patients and have their gallbladder removed or experience pain for a long time. In addition, as the currently known treatment involves surgery based on a mechanistic hypothesis, there are concerns about its complications. Therefore, medical drug treatment should be prioritized to determine whether improvement occurs.