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Median Arcuate Ligament Syndrome (MALS)

Digestive Health | Last Active: Oct 29 2:54pm | Replies (1225)

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@mommyofaudrey15

Hi! I am new to the group and have been going thru a very rough time with my 15 year old daughter. She was actually born with Heterotaxy with Polysplenia. What that means is she has a right sided stomach, she had half the bowel at birth that you should have. Also no spleen. After multiple surgies to repair her bowels, bowel obstructions etc...they found 1 spleen at 4 months old. We did pretty great until about 1 year old and another round of partial blockages. Had surgery but was not a total blockage. Fast forward 14 years and out of the blue she started having horrible stomach pain. And it just gets worse and worse and worse. We have had CT, MRI, Ultrasounds, upper GIs...everything. We are under the care of peds GI and peds Surgeon in Portland Or. She had surgery Feb 14 2020 for a partial bowel obstruction. She literally felt better for 1 day. She has lost over 20lbs and eating is the most painful thing for her. She has missed so much school. But thanks to Covid we don't have it now. Today she had the worst episode yet. Stomach pain at a 10+ , vomiting and a ambulance ride to children's hospital. Thinking she is obstructed again....well come to find out she is not. Her bowels looked great. They gave her fentanyl for pain and for the first timenin 6 months my child was not in pain. I recently started taking my daughter to my acupuncturist who's daughter happened to have MALS. 4 years it took to figure it out. She has every symptom of MALS. Every single one. And being that her insides are different anyways I am open to anything. But We just feel like the docs think we are crazy! We advocate so hard for her and are fighting for her life. She is deteriorating. We brought up MALS to the ER docs and they are like never heard of it.
My acupuncturist told us of Doctor Shin Connecticut. We are in Portland Or and it's so far and with Covid and the doctors are just plain scared of my child. Just wanted to hear others stories, advice. We are struggling so hard. She is already so complicated but it's like pulling teeth for doctors to believe u. Thank u for letting me share.

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Replies to "Hi! I am new to the group and have been going thru a very rough time..."

Dr. Shu

Hi mommy of Aubrey-please visit the MALS Awareness site on Facebook as there is a wealth of information there and lots of other moms with daughters that can be your support. This site guided me to find my diagnosis.

@mommyofaudrey15 - Welcome to Mayo Clinic Connect! I had MALS surgically treated and I’m fine now. It is very rare and I didn’t know of anyone with it until I found this wonderful group! It is so hard watching your child in constant pain. She may very well have MALS. Pressure on celiac artery by a ligament from the diaphragm. She has been tested thoroughly, but to discover the abnormal intestinal blood flow secondary the compression of the celiac artery she would need a Doppler ultrasound to detect change in blood flow. To confirm an abnormal test a CT angiogram is used. A regular abdominal ultrasound and CT would not detect it. The pain is caused by decreased blood flow to intestines when they are digesting food. Same principle as angina of the heart with physical activity.