Median arcuate ligament syndrome: A clinical dilemma

Abstract

Median arcuate ligament syndrome: A clinical dilemmaC ompression of the celiac artery was fi rst described in 1917 by Lipshutz, 1 but it took almost 50 years to understand any clinical implication.The triad of epigastric abdominal pain exacerbated by eating, weight loss, and celiac artery compression was initially described in 1963 by Harjola, 2 leading to the fi rst description of median arcuate ligament syndrome (MALS).To this day, controversy persists around the pathology of this syndrome, with some groups labeling it a vascular disease, while others consider it a neurogenic disease.

Topics & Concepts