“MEDIAN ARCUATE LIGAMENT SYNDROME’’ -A RARE CASE REPORT

Abstract

Background: The median arcuate ligament passes superior to the origin of the celiac artery and is a continuation of the posterior diaphragm that wraps over the aorta. If it lies too low on the aorta or if the origin of celiac artery is higher in location, the ligament may cause symptoms of abdominal pain related to compression of the celiac artery. Case Report: An abdominal ultrasound in a 20-year-old woman with longstanding abdominal pain after eating and Computed tomography angiography of the abdomen showed stenosis of the origin of the celiac artery and conrmed the diagnosis of median arcuate ligament syndrome. Laparoscopic release of the median arcuate ligament resulted in relief of the patient's symptoms. Conclusion: The diagnosis of median arcuate ligament syndrome should be considered in patients with postprandial abdominal pain that does not have a clearly established etiology.