Supradiaphragmatic origin of the celiac trunk leading to median arcuate ligament syndrome with superior mesenteric artery involvement

Median arcuate ligament (MAL) syndrome (MALS) is a rare condition caused by compression of the celiac artery by the MAL. Symptoms include abdominal pain, nausea, and weight loss. Rarely, the MAL can compress both the celiac artery and the superior mesenteric artery (SMA). We describe the case of a y...

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Bibliographic Details
Published in:Journal of vascular surgery cases and innovative techniques 2024-02, Vol.10 (1), p.101315, Article 101315
Main Authors: Rama, Martina, Nasser, Wissam, Palvannan, Prashanth, Belko, Sara, DiMuzio, Paul, Palazzo, Francesco
Format: Article
Language:English
Subjects:
Case report
Dunbar syndrome
MAL
MALS
Median arcuate ligament
Median arcuate ligament syndrome
Supradiaphragmatic celiac trunk
Supradiaphragmatic SMA
Two-vessel MALS
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Summary:Median arcuate ligament (MAL) syndrome (MALS) is a rare condition caused by compression of the celiac artery by the MAL. Symptoms include abdominal pain, nausea, and weight loss. Rarely, the MAL can compress both the celiac artery and the superior mesenteric artery (SMA). We describe the case of a young man with MALS involving the celiac artery and SMA. Laparoscopic release of the MAL was performed, and the patient had resolution of his symptoms at 6 months of follow-up. A review of the literature identified only six cases of MALS involving the SMA and celiac artery, making this a rare occurrence.
ISSN:2468-4287
2468-4287
DOI:10.1016/j.jvscit.2023.101315