Dunbar Syndrome Treated by Laparoscopic Surgery

Median arcuate ligament syndrome (MALS) or Dunbar syndrome is a rare condition resulting from compression of the celiac trunk by the median ligament at the level of the diaphragmatic crus. Abdominal tomography contributes to the diagnosis by demonstrating the level of obstruction and the presence of collateral arterial circulation in the gastroduodenal region, typical of the disease in chronic cases. The therapeutic options, although few, find in the laparoscopic surgical treatment the best option for releasing the muscle fibers in the arcuate ligament region. We report a rare case of a 38-year-old woman diagnosed with MALS successfully treated laparoscopically.