Median Arcuate Ligament Syndrome: A Cause of Postprandial Abdominal Pain in a Patient With Ulcerative Colitis

Elizabeth Hill, Mohamed Sultan, Walid Chalhoub, Patrick Jackson, Mark Mattar


We report a case of a young woman with ulcerative colitis presenting with 6-month postprandial abdominal pain, nausea, vomiting and weight loss. After an extensive diagnostic workup confirming the presence of multiple other potential causes abdominal pain including ulcerative colitis, pancreatitis and primary sclerosing cholangitis (PSC), and then she was diagnosed with median arcuate ligament syndrome (MALS). Her pain was relieved after laparoscopic lysis of median arcuate ligament.

J Med Cases. 2014;5(6):344-346


Median arcuate ligament syndrome; Celiac compression syndrome; Inflammatory bowel disease; Ulcerative colitis; Postprandial abdominal pain

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