# Laparoscopic Treatment of a Symptomatic Young Woman With Median Arcuate Ligament Syndrome

## TL;DR

A young woman with severe abdominal symptoms was diagnosed with and surgically treated for median arcuate ligament syndrome.

## Contribution

This case report presents a rare instance of symptomatic MALS in a young woman successfully treated with laparoscopic surgery.

## Key findings

- A 27-year-old woman experienced postprandial abdominal pain and vomiting due to MALS.
- Laparoscopic surgery was performed and provided symptom relief.
- MALS should be considered in young patients with unexplained gastrointestinal symptoms.

## Abstract

Median arcuate ligament syndrome (MALS), also known as Dunbar syndrome, celiac axis syndrome, or celiac artery compression syndrome, is caused by a band of tissue called the median arcuate ligament that compresses the celiac artery and sometimes the celiac plexus too. MALS does not always cause symptoms, but when symptoms occur, surgery is the treatment of choice. This case report focuses on the case of a 27-year-old woman presenting with postprandial episodes of abdominal pain and vomiting accompanied by loss of weight, which was found to be MALS.