AIMS
Median arcuate ligament (MAL) syndrome is an uncommon condition caused by the external compression of the celiac trunk by the median arcuate ligament. MAL syndrome involves a constellation of symptoms including epigastric pain, postprandial pain, nausea, vomiting, and weight loss. Diagnosis is difficult and is made after exclusion of other more common causes of abdominal pain. Multiple imaging techniques can be used to demonstrate celiac artery compression by the MAL including mesenteric duplex ultrasonography, computed tomography angiography, magnetic resonance angiography, gastric tonometry, and mesenteric arteriography. Surgical options include isolated arcuate ligament chylotomy or associated angioplasty vs vascular reconstruction.
METHODS
We report the case of a 31-year-old man who presented epigastric abdominal pain and nausea without vomits for three... leer más