Median arcuate ligament syndrome, a rare case of chronic abdominal pain

Antonino Terranova, Maurizio Soresi, Roberto Citarrella, Antonietta Serruto, Fania Puccia, Filippo Alessandro Montalto, Giuseppe Lo Re, Luigi Mirarchi

Research output: Contribution to journalArticle

Abstract

The median arcuate ligament syndrome (MALS) is a rare disease characterized by abdominal pain caused by the external compression of the celiac artery by the median arcuate ligament. Surgical treatment is indicated, but given the non-specific symptoms, these patients are often hospitalized in the Departments of Internal Medicine where the diagnosis may be unknown. We present a case of MALS admitted to our Internal Medicine Division. An abdominal ultrasound in a woman with longstanding abdominal pain showed elevated celiac artery velocities during forced expiration. Computed tomography angiography (CTA) of the abdomen showed stenosis of the origin of the celiac artery and confirmed the diagnosis of MALS. MALS is a syndrome that has to be considered, especially in young women with abdominal pain of unclear etiology; evaluated by color Doppler ultrasound, in the presence of elevated hepatic artery velocities during forced expiration, the confirmatory test is CTA.
Original languageEnglish
Pages (from-to)219-222
Number of pages4
JournalItalian Journal of Medicine
Volume12
Publication statusPublished - 2018

Fingerprint

Celiac Artery
Chronic Pain
Abdominal Pain
Internal Medicine
Doppler Ultrasonography
Hepatic Artery
Rare Diseases
Ligaments
Abdomen
Pathologic Constriction
Color
Celiac Artery Stenosis from Compression by Median Arcuate Ligament of Diaphragm
Computed Tomography Angiography
Therapeutics

All Science Journal Classification (ASJC) codes

  • Medicine(all)

Cite this

Median arcuate ligament syndrome, a rare case of chronic abdominal pain. / Terranova, Antonino; Soresi, Maurizio; Citarrella, Roberto; Serruto, Antonietta; Puccia, Fania; Montalto, Filippo Alessandro; Lo Re, Giuseppe; Mirarchi, Luigi.

In: Italian Journal of Medicine, Vol. 12, 2018, p. 219-222.

Research output: Contribution to journalArticle

Terranova, A, Soresi, M, Citarrella, R, Serruto, A, Puccia, F, Montalto, FA, Lo Re, G & Mirarchi, L 2018, 'Median arcuate ligament syndrome, a rare case of chronic abdominal pain', Italian Journal of Medicine, vol. 12, pp. 219-222.
Terranova, Antonino ; Soresi, Maurizio ; Citarrella, Roberto ; Serruto, Antonietta ; Puccia, Fania ; Montalto, Filippo Alessandro ; Lo Re, Giuseppe ; Mirarchi, Luigi. / Median arcuate ligament syndrome, a rare case of chronic abdominal pain. In: Italian Journal of Medicine. 2018 ; Vol. 12. pp. 219-222.
@article{ce26ce44ca4b4857bde013fe04b2c39f,
title = "Median arcuate ligament syndrome, a rare case of chronic abdominal pain",
abstract = "The median arcuate ligament syndrome (MALS) is a rare disease characterized by abdominal pain caused by the external compression of the celiac artery by the median arcuate ligament. Surgical treatment is indicated, but given the non-specific symptoms, these patients are often hospitalized in the Departments of Internal Medicine where the diagnosis may be unknown. We present a case of MALS admitted to our Internal Medicine Division. An abdominal ultrasound in a woman with longstanding abdominal pain showed elevated celiac artery velocities during forced expiration. Computed tomography angiography (CTA) of the abdomen showed stenosis of the origin of the celiac artery and confirmed the diagnosis of MALS. MALS is a syndrome that has to be considered, especially in young women with abdominal pain of unclear etiology; evaluated by color Doppler ultrasound, in the presence of elevated hepatic artery velocities during forced expiration, the confirmatory test is CTA.",
author = "Antonino Terranova and Maurizio Soresi and Roberto Citarrella and Antonietta Serruto and Fania Puccia and Montalto, {Filippo Alessandro} and {Lo Re}, Giuseppe and Luigi Mirarchi",
year = "2018",
language = "English",
volume = "12",
pages = "219--222",
journal = "Italian Journal of Medicine",
issn = "1877-9344",
publisher = "PagePress",

}

TY - JOUR

T1 - Median arcuate ligament syndrome, a rare case of chronic abdominal pain

AU - Terranova, Antonino

AU - Soresi, Maurizio

AU - Citarrella, Roberto

AU - Serruto, Antonietta

AU - Puccia, Fania

AU - Montalto, Filippo Alessandro

AU - Lo Re, Giuseppe

AU - Mirarchi, Luigi

PY - 2018

Y1 - 2018

N2 - The median arcuate ligament syndrome (MALS) is a rare disease characterized by abdominal pain caused by the external compression of the celiac artery by the median arcuate ligament. Surgical treatment is indicated, but given the non-specific symptoms, these patients are often hospitalized in the Departments of Internal Medicine where the diagnosis may be unknown. We present a case of MALS admitted to our Internal Medicine Division. An abdominal ultrasound in a woman with longstanding abdominal pain showed elevated celiac artery velocities during forced expiration. Computed tomography angiography (CTA) of the abdomen showed stenosis of the origin of the celiac artery and confirmed the diagnosis of MALS. MALS is a syndrome that has to be considered, especially in young women with abdominal pain of unclear etiology; evaluated by color Doppler ultrasound, in the presence of elevated hepatic artery velocities during forced expiration, the confirmatory test is CTA.

AB - The median arcuate ligament syndrome (MALS) is a rare disease characterized by abdominal pain caused by the external compression of the celiac artery by the median arcuate ligament. Surgical treatment is indicated, but given the non-specific symptoms, these patients are often hospitalized in the Departments of Internal Medicine where the diagnosis may be unknown. We present a case of MALS admitted to our Internal Medicine Division. An abdominal ultrasound in a woman with longstanding abdominal pain showed elevated celiac artery velocities during forced expiration. Computed tomography angiography (CTA) of the abdomen showed stenosis of the origin of the celiac artery and confirmed the diagnosis of MALS. MALS is a syndrome that has to be considered, especially in young women with abdominal pain of unclear etiology; evaluated by color Doppler ultrasound, in the presence of elevated hepatic artery velocities during forced expiration, the confirmatory test is CTA.

UR - http://hdl.handle.net/10447/326664

UR - https://www.italjmed.org/index.php/ijm/article/view/itjm.2018.1041/1115

M3 - Article

VL - 12

SP - 219

EP - 222

JO - Italian Journal of Medicine

JF - Italian Journal of Medicine

SN - 1877-9344

ER -