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?

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Profile picture for jmacbain @jmacbain

There's a doctor in CT Dr Hsu that's very familiar with MALS. There's also some in FL, IN, and OH

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Which surgeons are you referring to in FL that have experience with MALS?

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Profile picture for sclindajanssen @sclindajanssen

I had MALs lap surgery at Mayo 1 year ago. I’m doing great now. About 15 signs/symptoms disappeared after surgery. Lap surgery was tougher than expected. Much more difficult than my C-sections. 2 months of nausea, 8-10 months of fatigue. But very well worth it.

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HI. Who did your surgery at Mayo? Was it Dr. Bowers? I am waiting for a celiac nerve block to be scheduled then, if it relieves the pain and symptoms, I can get an appointment with the Dr.

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I would request to join the facebook MALS PALS closed group, they have a list of doctors

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Profile picture for jessicakristen @jessicakristen

Hi! Hardenbeg. I don’t have the typical symptoms either, my weight fluctuates and my pain is not just when eating but randomly happens whether I eat or not and some days I can be almost without pain for hours. I have been confirmed with imaging of the MALS yet I live on the east coast of the US and no one is familiar with MALS in my area and are hesitating to say that my pain is caused by it and I have not found a surgeon to operate. I’m trying to convince my insurance to allow me a third and fourth surgical opinion outside my area with knowledgeable doctors because this is horrible! I hope you have luck in your search. This site is helpful!

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There's a doctor in CT Dr Hsu that's very familiar with MALS. There's also some in FL, IN, and OH

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Profile picture for tutorgrl @tutorgrl

I had lap surgery 4 weeks ago along with unroofing of the nerves of the celiac plexus. My symptoms returned within 5 days and seem to be worse now than before surgery. Has anyone else experienced this? I have pain with eating that radiates to the back.

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Wow where did you have the surgery? That's strange, I know on the MALS pals facebook page alot of people have had surgery. From some of the posts it seems like the open surgery has better results but I'm not a doctor. I know I've been told it takes a while sometimes to heal as well so it might take a bit before your feeling better. Good Luck

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I had lap surgery 4 weeks ago along with unroofing of the nerves of the celiac plexus. My symptoms returned within 5 days and seem to be worse now than before surgery. Has anyone else experienced this? I have pain with eating that radiates to the back.

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Can anyone recommend a GI at Mayo, Rochester? I have one but she's not very supportive even after the CTA and Doppler revealed MALS. She keeps undermining my symptoms so Vascular isn't seeing my symptoms as a problem and then she won't schedule me with the surgeon I want to see, Dr Oderich. She's forcing me to go through procedures like pelvic floor therapy,which I've had before. I'm to the point I want to give up because I hurt so bad and shes ignoring me? Even tried going to patient experience about it but of course they're siding with the doctor. I can't afford this pelvic floor therapy and my insurance doesn't cover it.

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Hi! Hardenbeg. I don’t have the typical symptoms either, my weight fluctuates and my pain is not just when eating but randomly happens whether I eat or not and some days I can be almost without pain for hours. I have been confirmed with imaging of the MALS yet I live on the east coast of the US and no one is familiar with MALS in my area and are hesitating to say that my pain is caused by it and I have not found a surgeon to operate. I’m trying to convince my insurance to allow me a third and fourth surgical opinion outside my area with knowledgeable doctors because this is horrible! I hope you have luck in your search. This site is helpful!

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Hello! So glad to find this exchange. I have been diagnosed with the MALS ins Germany. The diagnosis was confirmed by three clinics. However, despite the clear diagnosis of a compressed truncus coeliacus, I don’t have the typical symptoms, no weight loss, no pain after meals, but extreme pain very early every morning for 11 years ! Do you know if one can contact someone at the Mayo clinic for a second opinion ? Many thanks

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