Median Arcuate Ligament Syndrome (MALS)

Posted by Kari Ulrich, Alumna Mentor @kariulrich, Dec 26, 2016

I am looking for other patients that have been diagnosed with Median Arcuate Ligament Syndrome. Although it is caused by compression of the celiac artery many people experience abdominal pain after eating, diarrhea, food avoidance. Usually the first doctors they see are GI doctors. It is a diagnosis that is made after everything else is ruled out. I am curious if anyone else has had surgery?

Interested in more discussions like this? Go to the Digestive Health Support Group.

@kariulrich

Thank you, Yes @lisa01 I am part of MALS PALS, but I do like the security of being here on Mayo connect vs Facebook when it comes to health information security. I was hoping that a group would start here for MALS. If we had enough patients here on Mayo Connect maybe they would consider doing a webinar in the future. I really like the format of this site. I have had Open Mals surgery twice, once for a bypass and then a revision several years later. If there is anyone interested in joining me here let me know.

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I would.

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@lisa01

Are you aware of a FB support group called MALS PALS. It is a support group for people suffering with MALS and their loved ones. It gives a tremendous amount of informstion of individual struggles, and various treatments and specialists that treat MALS. Highly recommended!!

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Thank you for the info about the FB group!

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@lhorton73

Hello..I've attached a list if doctors in Canada, hope this helps. I'm in a Facebook group and it has been very helpful navigating through this process.

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Thank you. I started out here and eventually found the online Facebook groups. Thanks for your information.

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@sandyskw13

I need some help and guidance. Have a 20 year old daughter, live in Ontario Canada. She's been dealing with MALS like symptoms for 17 months. No one so far here, has been able to diagnose her and we've had some incorrect testing, which adds to the problem. All we need is a MALS experienced doctor to do more correct testing so we can possibly get a diagnosis. Like a DOPPLER US with correct protocols, MRA with proper protecols. We know she likely needs a plexus block but scared to do away from home. Anyone know of any doctors who could help with testing?

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Hello..I've attached a list if doctors in Canada, hope this helps. I'm in a Facebook group and it has been very helpful navigating through this process.

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@sandyskw13

I need some help and guidance. Have a 20 year old daughter, live in Ontario Canada. She's been dealing with MALS like symptoms for 17 months. No one so far here, has been able to diagnose her and we've had some incorrect testing, which adds to the problem. All we need is a MALS experienced doctor to do more correct testing so we can possibly get a diagnosis. Like a DOPPLER US with correct protocols, MRA with proper protecols. We know she likely needs a plexus block but scared to do away from home. Anyone know of any doctors who could help with testing?

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There are several known, experienced, educated and are specialists in mals. If you check on Facebook, there are several Mals groups that are very knowledgeable and helpful. They have lists of doctors and what needs to be done for a diagnosis. Etc.

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I have been diagnosed but not surgery

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I need some help and guidance. Have a 20 year old daughter, live in Ontario Canada. She's been dealing with MALS like symptoms for 17 months. No one so far here, has been able to diagnose her and we've had some incorrect testing, which adds to the problem. All we need is a MALS experienced doctor to do more correct testing so we can possibly get a diagnosis. Like a DOPPLER US with correct protocols, MRA with proper protecols. We know she likely needs a plexus block but scared to do away from home. Anyone know of any doctors who could help with testing?

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@lasirvent

I’m in the same situation. I had open mals surgery Jan. 2020 with the ligament cut back to the spine and nerves addressed. I’m thankful that the mals pain is gone but 8 months after, I had a new ct and upper bowel series as I feel like someone has an exercise band around my upper epigastric area and throughout the day it just gets tighter and tighter. In Feb. 2021, I had Radio Frequency Ablation on both sides (one week apart) and it gave me relief for 8 weeks. Last month, I did a trial DRG pain stimulator and it took away 75-80% of the pain, so we know my problem is nerve damage. I’m scheduled on Nov. 4, for a DRG permanent stimulator. I just can’t handle a million tests again. I am 65.

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I have been seeing GI for months, but haven't been diagnosed. My upper abdomen is squeezed really tight. I also suspect I have MALS. I'm looking into the Facebook support group.

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Kelly,
Good morning. I am having bypass surgery (of my SMA) in roughly two weeks and was wondering how the post-op recovery went? Hope you are doing well.
Thanks,
Dan

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