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Median Arcuate Ligament Syndrome (MALS)

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

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@astaingegerdm

Wishing you well! I would really like to hear from you after testing and discussion.

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Replies to "Wishing you well! I would really like to hear from you after testing and discussion."

I will definitely keep everyone updated. And thanks to everyone’s help.

This is my results from my current CT scan.

Study Result
Impression
Status post surgical decompression of median arcuate ligament syndrome with persistent, mild narrowing of the proximal celiac artery and mild poststenotic dilation. The abdominal aorta and its major branch vessels are otherwise unremarkable without significant atherosclerotic disease or stenosis.
CTA of the abdomen and pelvis

CLINICAL HISTORY: Celiac artery stenosis; median arcuate ligament syndrome. Status post surgical decompression of median arcuate ligament syndrome in 2019

TECHNIQUE: Multiple contiguous axial images were obtained through the abdomen and pelvis after the IV administration of Omnipaque 350 contrast material. Image postprocessing coronal, sagittal, and three-dimensional reconstructions were obtained from the source axial data.

COMPARISON: No previous

FINDINGS:

Lower thorax: The visualized portions of the lower thorax are grossly unremarkable.

Liver and biliary system: A portion of the hepatic dome is excluded from the field-of-view. The visualized portions of the liver are unremarkable. There is no biliary ductal dilation.

Spleen: Unremarkable

Adrenal glands and kidneys: Unremarkable

Pancreas and retroperitoneum: Pancreas unremarkable. No retroperitoneal lymphadenopathy.

Abdominal aorta and major vessels: The abdominal aorta and iliac arteries are normal in caliber containing no significant atherosclerotic plaque. The origin of the celiac artery is patent. There is narrowing of the proximal celiac artery measuring up to 0.5 cm in diameter. Mild poststenotic dilation is present within the more distal portions of the celiac artery measuring up to 1 cm in diameter. The superior mesenteric and single bilateral renal arteries are widely patent. Flow is preserved within the inferior mesenteric artery.

Bowel, mesentery, and peritoneal space: Mild scarring and a focus of dystrophic calcification are noted within the omental fat, as demonstrated in images 2/15 through 17, likely postoperative in nature related to the patient's prior median arcuate ligament decompression. The bowel loops are nondistended. The appendix is unremarkable. There is no ascites.

Pelvis: Unremarkable

Osseous structures and body wall: No destructive osseous lesion.

Not sure what this all means. Waiting for my Vascular Surgeon to talk with me about the findings.