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Query: UMLS:C0000737 (abdominal pain)
 31,184 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Median arcuate ligament syndrome (MALS) is a rare disorder associated with chronic, postprandial abdominal pain and radiographic evidence of celiac artery compression. True arterial aneurysms distal to sites of chronic vascular compression due to post-stenotic dilatation have been described in other anatomic locations such as thoracic outlet syndrome and popliteal entrapment syndrome. We present the case of a patient who presented to vascular surgery clinic with a 35 year history of epigastric abdominal pain and bloating and was found to have a large celiac artery aneurysm with severe compression by the MAL.
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PMID:True celiac artery aneurysm secondary to median arcuate ligament syndrome. 2147 49

Median arcuate ligament syndrome (MALS), also known as celiac artery compression syndrome, is an uncommon condition classically characterized by chronic abdominal pain, weight loss, and abdominal bruit. Chronic mesenteric ischemia caused by intermittent compression of the celiac artery by the MAL provokes upper abdominal pain that is sympathetically mediated via the celiac plexus. Because it is a diagnosis of exclusion, diagnosis of MALS in the clinical setting is typically challenging. We present an atypical case which highlights the utility of celiac plexus block as both an assistant diagnostic tool and a predictor of surgical outcomes for suspected MALS.
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PMID:Celiac Plexus Block as a Predictor of Surgical Outcome for Sympathetically Mediated Abdominal Pain in a Case of Suspected Median Arcuate Ligament Syndrome: A Case Report. 2963 47