Chronic Abdominal Pain, an Overlooked Diagnosis of Median Arcuate Ligament Syndrome (MALS)

Author:

Nikolova Dafina1,Antovic Svetozar2,Karagjozov Pance2,Kitevski Vilijam2,Trajkovska Meri1,Dimitrova Magdalena G.1,Deriban Gjorgji1,Trpcevska Emilija Nikolovska1,Nikolovska Ance Volkanovska1

Affiliation:

1. University Clinic of Gastroenterohepatology, Faculty of Medicine, University Ss. Cyril and Methodius , Skopje , North Macedonia

2. University Clinic of Digestive Surgery, Faculty of Medicine, University Ss. Cyril and Methodius , Skopje , North Macedonia

Abstract

Abstract Median arcuate ligament syndrome (MALS) is a rare condition that is often overlooked as a result of its nonspecific symptoms. It is usually presented with nausea, bloating, abdominal postprandial pain, and weight loss. The diagnosis of MALS is usually delayed and made by excluding other causes for the symptoms. The diagnosis of this syndrome is based on clinical presentation and radiological findings on computer tomography angiography (CTA) or magnetic resonance angiography (MRA). Surgery is treatment of choice, with promising results from laparoscopic surgery.

Publisher

Walter de Gruyter GmbH

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