Document Type


Publication Date



This article is the author's final published version in the Journal of Vascular Surgery Cases, Innovations and Techniques, Volume 10, Issue 1, February 2024, Article number 101315.

The published version is available at Copyright © 2023 The Author(s). Published by Elsevier Inc. on behalf of Society for Vascular Surgery.


Median arcuate ligament (MAL) syndrome (MALS) is a rare condition caused by compression of the celiac artery by the MAL. Symptoms include abdominal pain, nausea, and weight loss. Rarely, the MAL can compress both the celiac artery and the superior mesenteric artery (SMA). We describe the case of a young man with MALS involving the celiac artery and SMA. Laparoscopic release of the MAL was performed, and the patient had resolution of his symptoms at 6 months of follow-up. A review of the literature identified only six cases of MALS involving the SMA and celiac artery, making this a rare occurrence.

Creative Commons License

Creative Commons License
This work is licensed under a Creative Commons Attribution-Noncommercial-No Derivative Works 4.0 License.