Published: 2019-09-26

Median arcuate ligament syndrome presenting with unintentional weight loss and epigastric pain

Mohammed Taher Mujahid, Virendra Kumar Soni, Rahul Saini


Median arcuate ligament syndrome is a rare condition characterized by extrinsic compression of celiac artery and celiac plexus by the median arcuate ligament. Patients typically present with chronic postprandial pain, nausea and occasionally, vomiting and weight loss. Treatment of this syndrome is laparoscopic or open surgical release of median arcuate ligament and gangliectomy. We report a rare case of median arcuate ligament syndrome in a patient who presented with abdominal pain and nausea. The patient was evaluated, investigated and planned for surgical intervention but the patient refused for treatment.


Median arcuate ligament syndrome, Epigastric pain, Hooked appearance, Post prandial steal phenomenon

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