Abstract

1. Abstract
Median arcuate ligament syndrome (MALS) is a rare syndrome presenting with nonspecific abdominal symptoms. We report a case of a 57-year-old woman with a stated history of achalasia who presented to the emergency department with chest pain. Due to her persistent chest pain despite negative cardiac workup, CT angiography (CTA) revealed proximal celiac artery narrowing with distal celiac artery dilation secondary to the median arcuate ligament (MAL) incidentally. After further workup, the patient was found to have ineffective esophageal motility as well. We recommend consideration of MALS as a differential diagnosis in those with chronic abdominal pain. Patient underwent median arcuate ligament release.