# Chronic Abdominal Pain in Median Arcuate Ligament Syndrome: A Diagnostic and Therapeutic Challenge

## TL;DR

This case report describes a rare condition causing chronic abdominal pain due to a ligament compressing an artery, successfully treated with surgery.

## Contribution

The report highlights a successful diagnostic and therapeutic approach to a rare and challenging condition.

## Key findings

- A 25-year-old male with chronic abdominal pain was diagnosed with median arcuate ligament syndrome.
- Symptoms resolved definitively after laparoscopic decompression of the ligament.

## Abstract

Median arcuate ligament syndrome is a rare and difficult-to-diagnose condition that typically presents with nonspecific symptoms of abdominal pain, nausea, and vomiting. The condition is caused by compression of the celiac artery by the median arcuate ligament at the level of the diaphragmatic aortic hiatus. In this case report, we present a 25-year-old male who presented with a chief complaint of persistent abdominal pain, nausea, and vomiting. The patient’s symptoms, computed tomography imaging, and abdominal Doppler ultrasound results were consistent with the classical presentation of the disease. The patient’s symptoms definitively resolved after laparoscopic median arcuate ligament decompression.