Median Arcuate Ligament Syndrome (MALS), also known as celiac artery compression syndrome, is a rare condition characterized by the compression of the celiac artery by the median arcuate ligament, a fibrous band of tissue. This compression can lead to a variety of symptoms that can significantly impact a person's quality of life.
Abdominal Pain: One of the most common symptoms of MALS is chronic abdominal pain. The pain is typically located in the upper abdomen, just below the ribcage, and may be described as a dull, aching sensation. The pain may worsen after eating or during physical activity.
Weight Loss: Many individuals with MALS experience unintentional weight loss. This can be attributed to the pain associated with eating, which may lead to a decreased appetite and avoidance of certain foods. Over time, this can result in significant weight loss and malnutrition.
Nausea and Vomiting: MALS can cause persistent nausea and vomiting, particularly after meals. This can further contribute to weight loss and nutritional deficiencies.
Postprandial Symptoms: After eating, individuals with MALS may experience a range of symptoms collectively known as postprandial symptoms. These can include bloating, abdominal distension, early satiety (feeling full quickly), and discomfort.
Epigastric Bruit: In some cases, a healthcare provider may detect an abnormal sound called an epigastric bruit when listening to the abdomen with a stethoscope. This sound is caused by turbulent blood flow through the compressed celiac artery.
Other Symptoms: MALS can also present with a variety of other symptoms, although they are less common. These may include diarrhea, constipation, gastroesophageal reflux disease (GERD), and fatigue.
It is important to note that the severity and combination of symptoms can vary among individuals with MALS. Some individuals may experience mild symptoms that are manageable, while others may have more severe symptoms that significantly impact their daily lives.
If you suspect you may have MALS or are experiencing any of these symptoms, it is crucial to consult with a healthcare professional for an accurate diagnosis and appropriate treatment. Treatment options for MALS may include lifestyle modifications, medications to manage symptoms, or surgical intervention to relieve the compression of the celiac artery.