title: An easily overlooked cause of abdominal pain.
abstract: A 63 year old female presented to the emergency department with a several month history of intermittent right upper quadrant abdominal pain, early satiety with loss of appetite, and an unintentional weight loss of 8. She underwent a battery of tests that returned negative and subsequently sent for Computed tomographic angiography (CTA) of the abdomen revealing luminal stenosis of the proximal 1 cm of the celiac axis estimating 90% occlusion and a patent SMA and IMA with, typical for median arcuate ligament syndrome. The symptoms, diagnosis, and treatment options are discussed.
authors.affiliation: Department of Internal Medicine, Reading Health System, West Reading, PA, USA; kyle.bennettdo@readinghealth.org.
authors.forename: Kyle
authors.initials: K
authors.lastname: Bennett
authors.affiliation: Department of Internal Medicine, Reading Health System, West Reading, PA, USA.
authors.forename: Andrew
authors.initials: A
authors.lastname: Rettew
authors.affiliation: Department of Internal Medicine, Reading Health System, West Reading, PA, USA.
authors.forename: Bilal
authors.initials: B
authors.lastname: Shaikh
authors.affiliation: Department of Internal Medicine, Reading Health System, West Reading, PA, USA.
authors.forename: Suzanne
authors.initials: S
authors.lastname: Supplee
authors.affiliation: Department of Internal Medicine, Reading Health System, West Reading, PA, USA.
authors.forename: Richard
authors.initials: R
authors.lastname: Alweis
keywords: Median arcuate ligament syndrome (MALS); postprandial pain; unintentional weight loss