Median arcuate ligament syndrome and liver transplantation

Background Arcuate ligament syndrome results from the compression of the celiac artery by the diaphragmatic fibers. It is asymptomatic in most cases and has an incidence of 2 to 24% of the population. In liver transplantation, it has great relevance, since it can be related to various postoperative complications. Case presentation We present the case of a woman who required an urgent hepatic transplant because a fulminant hepatitis by HBV. The arcuate ligament was identified during the pre- transplant tests. Intraoperatively, the release of the arcuate ligament was performed and the implant continued with regularity. The Doppler ultrasound showed good flows and the postoperative period passed without events.