How do I know if I have Median Arcuate Ligament Syndrome?

Median Arcuate Ligament Syndrome (MALS) is a rare condition that occurs when the median arcuate ligament, a fibrous band of tissue, compresses the celiac artery and nearby nerves. This compression can lead to a variety of symptoms, making it important to recognize the signs and seek medical attention if you suspect you may have MALS.

Symptoms:

The symptoms of MALS can vary from person to person, but some common signs to watch out for include:

• Abdominal pain: This is the most common symptom of MALS. The pain is typically located in the upper abdomen, around the area of the celiac artery.


• Weight loss: Unexplained weight loss may occur due to reduced blood flow to the digestive organs.


• Nausea and vomiting: These symptoms can be present, especially after eating.


• Diarrhea: Some individuals with MALS may experience frequent loose stools.


• Postprandial pain: Pain that worsens after eating is a characteristic feature of MALS.


• Abdominal bruit: A whooshing sound heard with a stethoscope over the abdomen may indicate turbulent blood flow caused by the compressed artery.

Diagnosis:

If you suspect you have MALS, it is important to consult with a healthcare professional. They will likely perform a thorough evaluation, which may include:

• Medical history: Your doctor will ask about your symptoms and medical history to better understand your condition.


• Physical examination: A physical examination, including listening for abdominal bruits, may be conducted.


• Imaging tests: Various imaging techniques such as ultrasound, computed tomography (CT) scan, or magnetic resonance angiography (MRA) may be used to visualize the celiac artery and assess any compression.


• Celiac artery compression test: This test involves temporarily blocking the blood flow to the celiac artery to see if it reproduces your symptoms.

Treatment:

If MALS is diagnosed, treatment options will depend on the severity of your symptoms. In mild cases, conservative management such as dietary modifications, pain management, and lifestyle changes may be recommended. However, if symptoms are severe and significantly impact your quality of life, surgical intervention may be necessary to release the compressed artery.

It is important to remember that this information is not a substitute for professional medical advice. If you suspect you have MALS or are experiencing any concerning symptoms, please consult with a healthcare provider for an accurate diagnosis and appropriate treatment.