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:
Upper abdominal pain, particularly after eating
Early fullness
Abdominal discomfort with exercise
Bloating
Nausea or vomiting
Reduced appetite
Why Choose Our Median Arcuate Ligament Syndrome Service?