Median arcuate ligament syndrome complicated with gallbladder stones: A case report

Figure 1 Upper abdominal magnetic resonance imaging showing gallbladder stones and multiple liver cysts. A: Gallbladder stones and cholestasis. Arrow indicates gallbladder stones; B: Arrow indicates caudate lobe cyst of liver about 3 cm × 3 cm in size.

Figure 2 Imaging examination of median arcuate ligament syndrome. A and B: computed tomography (CT) angiography coronal images showed a V-shaped stenosis at the beginning of the celiac trunk (the arrow indicates) and distal expansion; C: CT showed compression at the beginning of the celiac trunk (indicated by arrow).

Figure 3 Intraoperative imaging of median arcuate ligament release surgery. A: Freeing the arcuate ligament (indicated by arrow); B: Ultrasonic knife cut the arcuate ligament (indicated by arrow); C: Ligament release + end of celiac trunk peripheral ganglion resection.