Laparoscopic Management of Median Arcuate Ligament Syndrome: A Case Report

Pratap Kumar Shinde; Rakesh Kumar Sinha; Salim Al Maashani; Ali Ibrahim

doi:10.5001/omj.2023.43

Laparoscopic Management of Median Arcuate Ligament Syndrome: A Case Report

Oman Med J. 2023 Sep 28;38(5):e556. doi: 10.5001/omj.2023.43. eCollection 2023 Sep.

Authors

Pratap Kumar Shinde¹, Rakesh Kumar Sinha¹, Salim Al Maashani¹, Ali Ibrahim¹

Affiliation

¹ Department of General Surgery, Sultan Qaboos Hospital, Salalah, Oman.

Abstract

Median arcuate ligament syndrome (MALS) is an uncommon disorder characterized by postprandial abdominal pain, vomiting, anorexia, and weight loss. The symptoms are due to the MAL compressing the celiac artery and irritating the celiac plexus/ganglion. We report the case of one patient who presented with chronic abdominal pain, bloating, vomiting, and weight loss. Computed tomography angiography led to the diagnosis of MALS. The patient was treated surgically by laparoscopic division of the MLA and excision of the celiac plexus. He was discharged on day two without complications. On one-month follow-up, he was symptom-free, eating well, and had gained weight. He is on regular follow-up.

Keywords: Abdominal Pain; Chronic Pain; Laparoscopy; Median Arcuate Ligament Syndrome; Oman..

Publication types

Case Reports