Laparoscopic Management of Median Arcuate Ligament Syndrome: A Case Report

Laparoscopic Management of Median Arcuate Ligament Syndrome: A Case Report

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Median arcuate ligament syndrome (MALS) is an uncommon disorder characterized by postprandial CHILDS CHAP/GLOVE COMBO 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 Massage Chair 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.