The median arcuate ligament syndrome (MALS, also known as celiac artery compression syndrome, celiac axis syndrome, celiac trunk compression syndrome or Dunbar syndrome) is a condition characterized by abdominal pain attributed to compression of the celiac artery and possibly the celiac ganglia by the median arcuate ligament. Median arcuate ligament usually passes superior to the origin of the celiac artery near the first lumbar vertebra. In the general population, 10-24% of people may have indentation caused by an abnormally low ligament. Duffy et al. (2009) We present the case of a patient with median arcuate ligament syndrome that caused abdominal pain associated with nausea and emesis.
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