Median Arcuate Ligament Syndrome

Median Arcuate Ligament Syndrome

Medial Arcuate Ligament Syndrome (MALS) is a rare condition in which the median arcuate ligament of the diaphragm compresses the celiac artery, potentially affecting blood flow and irritating nearby nerves.

Our experienced vascular and gastrointestinal surgical team provides comprehensive evaluation and individualized treatment for patients with suspected MALS, using advanced diagnostic imaging and minimally invasive surgical techniques when appropriate.

What Is MALS?

The median arcuate ligament is a band of tissue connecting parts of the diaphragm. In some individuals, it passes lower than usual and can compress the celiac artery, a major blood vessel supplying the upper abdominal organs.

This compression may be associated with abdominal pain and digestive symptoms, although the presence of celiac artery compression on imaging alone does not necessarily mean that a person has symptomatic MALS. A thorough clinical evaluation is important.

Symptoms of MALS

Patients with symptomatic MALS may experience:

1
Upper abdominal pain, particularly after eating
2
Early fullness
3
Abdominal discomfort with exercise
4
Bloating
5
Nausea or vomiting
6
Reduced appetite

Why Choose Our Median Arcuate Ligament Syndrome Service?

Experienced gastrointestinal and vascular surgical team
Advanced vascular imaging
Specialized evaluation of celiac artery compression
Laparoscopic and robotic surgical options when appropriate
Personalized treatment planning
Multidisciplinary assessment
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About Us

Dr. Ahmed Abd El Salam recognizes the significance of achieving weight loss through healthy and safe methods. That’s why he offers the latest and most advanced bariatric surgeries for the first time in the Middle East.

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