Chronic Abdominal Pain in Median Arcuate Ligament Syndrome: A Diagnostic and Therapeutic Challenge.

Division

West Florida

Hospital

Oak Hill Hospital

Document Type

Case Report

Publication Date

4-15-2025

Keywords

celiac artery variations, chronic abdominal pain, color flow doppler ultrasound, diaphragmatic crura, nausea and vomiting

Disciplines

Cardiovascular Diseases | Congenital, Hereditary, and Neonatal Diseases and Abnormalities | Internal Medicine | Medicine and Health Sciences

Abstract

Median arcuate ligament syndrome is a rare and difficult-to-diagnose condition that typically presents with nonspecific symptoms of abdominal pain, nausea, and vomiting. The condition is caused by compression of the celiac artery by the median arcuate ligament at the level of the diaphragmatic aortic hiatus. In this case report, we present a 25-year-old male who presented with a chief complaint of persistent abdominal pain, nausea, and vomiting. The patient's symptoms, computed tomography imaging, and abdominal Doppler ultrasound results were consistent with the classical presentation of the disease. The patient's symptoms definitively resolved after laparoscopic median arcuate ligament decompression.

Publisher or Conference

Cureus

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