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Median Arcuate Ligament Syndrome (MALS)

Digestive Health | Last Active: 12 hours ago | Replies (1157)

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@cberry

I went to a general surgeon and he decided to do the surgery robotically, he had never done the surgery before. He released the ligament and did the ganglionechtomy. I truly believe there is still an issue with my celiac artery being compressed however, living in a smaller city the surgeons here don't want to step on each other's toes and make one another feel bad by second guesssing someone's work and getting someone to go back in to look at it again is becoming a challenge. I have been in and out of the ER numerous times for the pain, including last night. It is to the point where even fentenyl isn't working for the constant pain. I am desperate for someone to help but I don't know where to turn. All of my labs always come back fine. No one has done a repeat Ct Angio or an ultrasound to see if the artery is still compressed. I worry about scar tissue being an issue as well considering that wouldn't show up on imaging. Would scar tissue cause pain? Any help would be appreciated. Thanks.

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Replies to "I went to a general surgeon and he decided to do the surgery robotically, he had..."

@cberry I am guessing that with robotic surgery they were not able to do a intraoperative ultrasound to check velocities after the ligament was clipped. The problem with that is that if the artery is deformed from the ligament it could still be causing stenosis. One thing to consider is having a cath angiogram and have them measure arterial pressures. You need a second opinion with a vascular surgeon who has experience with MALS. This breaks my heart! Scar tissue does not show up on imaging, but can contribute to problems. I am more concerned about the velocities of your celiac artery. Do you mind me asking what state you are in?