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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Glad to find this! After a couple of months of stomach issues and all the usual test on your stomach and colon, the doctors did a ct scan with contrast. That revealed the compression of my Celiac artery. Also revealed pulmonary emboli in my lower lung. They estimate my artery is only 30% compressed but the blood clot was adding to my problem and causing the typical weight loss, stomach pain, etc. Since I have been on blood thinners I can eat again. I am 70% better so no surgery at this point but I can tell this will most likely be an on going issue the rest of my life. Good to know this resource is available.

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Very interesting article, @jjren; here's a link for members who'd like to read it:
https://www.nytimes.com/2018/06/13/magazine/he-had-no-symptoms-except-he-felt-nauseated-all-the-time.html

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My doctor informed me about a MALS article in the June 13th New York Times. Title What Was Causing a Healthy Older Man to Be Nauseated by Food?

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@dpresbit

Seven years and dozens of CT scans later I've now been diagnosed with MALS. 90% stenosis of the celiac axis. I'm now in search of a doctor that specializes in this type of ailment since it seems to be a rare condition. Any suggestions?

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I am going to try this again! This is from MALS PALS on Facebook

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@dpresbit

Seven years and dozens of CT scans later I've now been diagnosed with MALS. 90% stenosis of the celiac axis. I'm now in search of a doctor that specializes in this type of ailment since it seems to be a rare condition. Any suggestions?

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I am so sorry to hear about your diagnosis! Do you mind me asking where you live?

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@dpresbit

Seven years and dozens of CT scans later I've now been diagnosed with MALS. 90% stenosis of the celiac axis. I'm now in search of a doctor that specializes in this type of ailment since it seems to be a rare condition. Any suggestions?

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Hello @dpresbit sorry you are one of us, but it is good to finally get a diagnosis. Where do you live? There is a Facebook group called Mals Pals and they have an updated list of surgeons/drs. by state. It is made from word of mouth from members on the site that have recommended them. If you don't want to join, I can look for you and let you know.

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Seven years and dozens of CT scans later I've now been diagnosed with MALS. 90% stenosis of the celiac axis. I'm now in search of a doctor that specializes in this type of ailment since it seems to be a rare condition. Any suggestions?

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@jjren

Has anyone noticed they become pale or has anyone said you look very pale?

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That makes sense, this gives a good explanation also: https://www.healthline.com/health/mottled-skin

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@jjren

Has anyone noticed they become pale or has anyone said you look very pale?

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I think the stress of severe pain causes pallor- less blood flow to skin.

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@jjren

Has anyone noticed they become pale or has anyone said you look very pale?

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When I have an exceptional amount of pain my kids comment how pale I look, they know I don't feel well. I think that is a common symptom with pain, however I am not sure. Also I have Iron deficiency anemia, which I am sure many of us have possibly from malnutrition? That can cause you to look a bit pale I believe.

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