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Celiac plexus block as a diagnostic tool in suspected pediatric median arcuate ligament syndrome

Authors Selvaraj BJ, Joshi M, Weber G, Yarmush J

Received 23 October 2018

Accepted for publication 17 January 2019

Published 27 February 2019 Volume 2019:12 Pages 15—18


Checked for plagiarism Yes

Review by Single anonymous peer review

Peer reviewer comments 2

Editor who approved publication: Dr Stefan Wirz

Bright Jebaraj Selvaraj,1 Minal Joshi,1 Garret Weber,2 Joel Yarmush1

1Department of Anesthesiology, New York Presbyterian Brooklyn Methodist Hospital, Brooklyn, NY, USA; 2Department of Anesthesiology, Westchester Medical Center, Valhalla, NY, USA

Abstract: We report the use of celiac plexus block (CPB) as a diagnostic aid in the evaluation of median arcuate ligament syndrome (MALS) in a pediatric patient. MALS is a rare cause of severe, debilitating, abdominal postprandial pain associated with nausea, vomiting, occasional diarrhea, unintentional weight loss, and abdominal bruit. MALS is a diagnosis of exclusion, after multiple investigations. This is the first case report where CPB was used to confirm candidacy for corrective surgery in the pediatric population and has served as the cornerstone in diagnosis of MALS.

Keywords: median arcuate ligament syndrome, celiac plexus block, pediatric, diagnostic

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