VOLUME 4 , ISSUE 3 ( September-December, 2018 ) > List of Articles
Sushma Pandey, Sachin Khanduri, Vivek K Yadav, Harsh Yadav, Ekta Tyagi
Keywords : Celiac artery compression syndrome, Epigastric pain, Median arcuate ligament syndrome, Radiology
Citation Information : Pandey S, Khanduri S, Yadav VK, Yadav H, Tyagi E. Median Arcuate Ligament Syndrome: A Rare Cause of Epigastric Pain. J Recent Adv Pain 2018; 4 (3):112-114.
DOI: 10.5005/jp-journals-10046-0121
License: CC BY-NC 4.0
Published Online: 01-12-2018
Copyright Statement: Copyright © 2018; The Author(s).
Aim: To diagnose and aid the treatment of a patient with an unknown cause of epigastric pain. Background: Harjola first described median arcuate ligament syndrome (aka celiac artery compression syndrome) in 1963. Typically it occurs in young patients (20–40 years age group) and is more common in lean women, presents with epigastric pain and weight loss. Case description: An 18-year-old male visited the emergency room with a complaint of recurrent episodes of abdominal pain. There was no past or any medical history of any previous illness. On physical examination, the patient was afebrile and had pallor. All the vitals were within normal limits. The abdominal examination did not reveal any significant abnormality. Laboratory investigations (Hb, GBP, TLC) were within normal limits. Conclusion: Median arcuate ligament syndrome is a rare clinical entity which can be found in normal asymptomatic people. In a few cases, however, celiac axis compression can cause symptoms which can be relieved with laparoscopic surgical decompression. Clinical significance: The median arcuate ligament syndrome as an entity must be kept in mind when no other cause of abdominal pain is zeroed on even after all the clinical examinations and investigations.