About Median Arcuate Ligament Syndrome

What is Median Arcuate Ligament Syndrome?

Median Arcuate Ligament Syndrome (MALS) is a rare condition that occurs when the median arcuate ligament, a band of tissue that runs across the abdomen, compresses the aorta and the celiac artery. This compression can lead to a decrease in blood flow to the stomach and other organs, resulting in abdominal pain, nausea, vomiting, and weight loss. Treatment typically involves surgical decompression of the ligament.

What are the symptoms of Median Arcuate Ligament Syndrome?

The most common symptoms of Median Arcuate Ligament Syndrome (MALS) include abdominal pain, nausea, vomiting, weight loss, and fatigue. Other symptoms may include difficulty eating, bloating, and constipation. In some cases, patients may also experience chest pain, shortness of breath, and palpitations.

What are the causes of Median Arcuate Ligament Syndrome?

The exact cause of Median Arcuate Ligament Syndrome (MALS) is unknown. However, it is believed to be caused by compression of the celiac artery by the median arcuate ligament, a band of connective tissue that runs across the abdomen. Other possible causes include congenital abnormalities, trauma, or inflammation of the ligament.

What are the treatments for Median Arcuate Ligament Syndrome?

The primary treatment for Median Arcuate Ligament Syndrome (MALS) is surgical decompression of the celiac artery. This involves cutting the ligament to relieve pressure on the artery. Other treatments may include medications to reduce abdominal pain, lifestyle changes to reduce symptoms, and physical therapy to improve strength and flexibility. In some cases, endovascular stenting may be used to open the artery and improve blood flow.

What are the risk factors for Median Arcuate Ligament Syndrome?

1. Female gender
2. Being overweight or obese
3. Pregnancy
4. Smoking
5. Abdominal surgery
6. Abdominal trauma
7. Chronic constipation
8. Chronic coughing
9. Chronic straining during bowel movements
10. Chronic abdominal pain

Is there a cure/medications for Median Arcuate Ligament Syndrome?

Yes, there are treatments available for Median Arcuate Ligament Syndrome. Treatment options include medications, endovascular stenting, and surgical ligation of the ligament. Medications such as proton pump inhibitors, antacids, and H2 blockers can be used to reduce symptoms. Endovascular stenting is a minimally invasive procedure that can be used to open the narrowed area of the ligament. Surgical ligation of the ligament is a more invasive procedure that involves cutting the ligament to relieve pressure on the aorta.