• Tam Nguyen, Michael Neale, Rodney Lane, Vivienne Schiavone, Jaswinder S Samra, and Thomas J Hugh.
• Royal North Shore Hospital, Department of Vascular Surgery, University of Sydney, St Leonards, New South Wales, Australia.
• ANZ J Surg. 2012 Apr 1;82(4):265-8.

BackgroundThe median arcuate ligament syndrome (MALS) is an infrequent cause of abdominal pain. This diagnosis is made after exclusion of other more common causes of upper abdominal symptoms. Mesenteric duplex and a computerized tomography mesenteric angiography demonstrate dynamic compression of the coeliac axis during expiration.MethodsRetrospective analysis of presenting symptoms, preoperative findings and postoperative outcomes.ResultsFive consecutive patients who underwent laparoscopic division of the median arcuate ligament over a 4-year period (2006-2010) are presented. This procedure was associated with low morbidity and complete relief of symptoms in all patients.ConclusionA minimally invasive procedure is the treatment of choice in selected patients with MALS.© 2012 The Authors. ANZ Journal of Surgery © 2012 Royal Australasian College of Surgeons.

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