- Median Arcuate Ligament Syndrome (MALS) is a rare syndrome of intermittent (often post-prandial) abdominal pain putatively caused by kinking of the coeliac artery by the median arcuate ligament of the diaphragm. It can be associated with vomiting and weight loss.
- Publications out of North America discuss minimally invasive surgical treatment.
- Related is SMA (superior mesenteric artery) Syndrome, which can occur after acute weight loss, where loss of the duodenal fat pat leads to compression of the duodenum between the SMA and the aorta.
- These conditions are so rare there is no established clinical expertise in WA in dealing with MALS, although SMA syndrome is occasionally recognised in adults.
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