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Median Arcuate Ligament Syndrome (MALS)

Digestive Health | Last Active: 4 hours ago | Replies (1229)

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@pfpurple

I have a very similar situation and I insisted to my doctor that we do a test for MALS. There are a couple of ways to start. One is a very specific ultrasound where they have you breathe out while checking your velocities (if there is a compression of the celiac artery, they will see it with the exhalation). Other tests might include a CTA with contrast. My tests came back positive for MALS and I am seeing a vascular surgeon this week. In the meantime, my understanding is that the breathing, and in my case, heart palpitations (and slow digestion, and possibly even malnutrition), are stemming from the fact that I have a very sensitive autonomic nervous system and the nerves between the celiac artery and the ligament that is compressing it, are irritated themselves and are irritating my autonomic nervous system (causing all of those other issues). A good cardiologist, or even your PCP could explain the autonomic nervous system far better than I, but I hope I have given you something to go on.

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Replies to "I have a very similar situation and I insisted to my doctor that we do a..."

Does anyone know what a Dr. uses as a baseline PSV and EDV numbers on a duplex ultrasound to determine whether or not there is celiac artery compression? I have my report but it might as well be written in Chinese. I had it ordered by a vascular surgeon who then sent me to a general surgeon who performs the surgery. He did not go over the ultrasound just the surgical procedure. Thank you in advance for any advice.

I believe it depends on the clinic doing the U/S. For some reason I believe it should be under 200.... but please do not quote me on that! I maybe remembering my last U/S results lol!! I will do some checking. This article is helpful https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4419433/

Thank you. It was helpful. Keep searching. All I know after tonight's attack I am counting down the days, hours, minutes until my surgery on the 18th. Thank you again for the support.
Susan