Sertaç Usta1, Koray Karabulut1, Hakan Artaş2

1Department of General Surgery, Fırat University Faculty of Medicine, Elazığ, Turkey
2Department of Radiology, Fırat University Faculty of Medicine, Elazığ, Turkey


Median arcuate ligament syndrome (MALS) occurs as a result of compression of the celiac artery by a fibrous band called the median ligament, which originates from the diaphragmatic crus. The prevalence of MALS has been reported as 10-24% among patients. The etiology is not clear. The components of the clinical triad are a chronic post-prandial pain, epigastric murmur and weight loss. Diagnosis is based on clinical and radiological findings. MALS has been reported in a small portion of patients undergoing pancreaticoduodenectomy. Most of the patients have been diagnosed prior to surgery.

Keywords: Pancreaticoduodenectomy, median arcuate ligament syndrome, celiac artery occlusion

Cite this article as: Usta S, Karabulut K, Artaş H. Median arcuate ligament syndrome noticed during pancreaticoduodenectomy. Turk J Surg 2022; 38 (1): 95-97.


Peer Review

Externally peer-reviewed.

Author Contributions

Concept - S.U.; Design - S.U.; Supervision - K.K.; Materials - S.U.; Data Collection and/or Processing - S.U.; Literature Search - S.U.; Writing Manuscript - S.U., H.A.; Critical Reviews - K.K.

Conflict of Interest

The authors have no conflicts of interest to declare.

Financial Disclosure

The authors declared that this study has received no financial support.