Here, we report a case with successful treatment of inferior pancreaticoduodenal artery aneurysm rupture due to celiac artery trunk compression caused by the median arcuate ligament. When clinicians see visceral aneurysms, the possibility of arcuate midline ligament compression syndrome (MALS) and ligamentectomy for MALS should be considered.
Keywords: celiac artery compression syndrome; median arcuate ligament syndrome; pancreaticoduodenal artery aneurysm; retroperitoneal hemorrhage.