<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0026-1742</journal-id>
<journal-title><![CDATA[Revista de la Facultad de Medicina (México)]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. Fac. Med. (Méx.)]]></abbrev-journal-title>
<issn>0026-1742</issn>
<publisher>
<publisher-name><![CDATA[Universidad Nacional Autónoma de México, Facultad de Medicina]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0026-17422021000400025</article-id>
<article-id pub-id-type="doi">10.22201/fm.24484865e.2021.64.4.03</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Síndrome de ligamento arcuato medio]]></article-title>
<article-title xml:lang="en"><![CDATA[Median arcuate ligament syndrome]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Concha Tiznado]]></surname>
<given-names><![CDATA[Mauricio de la]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Lara Ruiz]]></surname>
<given-names><![CDATA[Rodolfo Iván]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ramírez Gutiérrez de Velasco]]></surname>
<given-names><![CDATA[Alfredo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[García Anzures]]></surname>
<given-names><![CDATA[Itzel Alejandra]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ortiz Calderón]]></surname>
<given-names><![CDATA[Janet Pamela]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ibarrola Calleja]]></surname>
<given-names><![CDATA[José Luis]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Ángeles del Pedregal  ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>08</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>08</month>
<year>2021</year>
</pub-date>
<volume>64</volume>
<numero>4</numero>
<fpage>25</fpage>
<lpage>30</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S0026-17422021000400025&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S0026-17422021000400025&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S0026-17422021000400025&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen El síndrome del ligamento arcuato medio (SLAM) es una entidad poco frecuente que se presenta debido a la compresión crónica de la arteria y el plexo celíaco por el ligamento arcuato medio (LAM). La presentación clínica es insidiosa y se necesita de un alto índice de sospecha. El diagnóstico presenta un reto debido a que no existen criterios universales y los hallazgos en los estudios de gabinete no pronostican la respuesta al tratamiento médico. La separación del LAM es el tratamiento de elección. Se pueden utilizar técnicas endovasculares para las recidivas y aneurismas asociados. Se presenta el caso clínico de una paciente de 63 años admitida por neumonía y dolor abdominal crónico concomitante en quien se confirma la estenosis del tronco celíaco y hemorragia retroperitoneal por angiotomografía, y se realiza revisión de la literatura de este síndrome controversial.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract Medium arcuate ligament syndrome (SLAM) is a rare entity that occurs due to chronic compression of the artery and coeliac plexus by the middle arcuate ligament (LAM). Clinical presentation is insidious and a high suspicion rate is needed. Diagnosis is challenging since there is no universal criteria and image findings do not predict response to medical treatment. Separation of LAM is the treatment of choice. Endovascular techniques may be used for relapses and associated aneurysms. We present the clinical case of a 63-year-old female patient admitted with pneumonia and concomitant chronic abdominal pain in which celiac trunk stenosis and retroperitoneal hemorrhage is confirmed by angiotomography. The literature of this controversial syndrome is reviewed.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Síndrome]]></kwd>
<kwd lng="es"><![CDATA[ligamento]]></kwd>
<kwd lng="es"><![CDATA[arcuato]]></kwd>
<kwd lng="es"><![CDATA[medio]]></kwd>
<kwd lng="es"><![CDATA[hemoperitoneo]]></kwd>
<kwd lng="en"><![CDATA[Syndrome]]></kwd>
<kwd lng="en"><![CDATA[ligament]]></kwd>
<kwd lng="en"><![CDATA[arcuate]]></kwd>
<kwd lng="en"><![CDATA[half]]></kwd>
<kwd lng="en"><![CDATA[hemoperitoneum]]></kwd>
</kwd-group>
</article-meta>
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