Star hospital is one of the Best Super Specialist Hospitals in the country of India and is well known for the treatment of Median Arcuate Ligament Syndrome treatment In India (MALS). We provide the best treatment with the help of the latest technology. Median Arcuate Ligament Syndrome is treated with surgery which is operated with the help of Laparoscopic surgery. With the help of laparoscopic surgery, no large incisions are required hence, making the treatment painless and scarless. Moreover, it has a very high recovery rate and helps the patient to recover more quickly.
What Is Median Arcuate Ligament Syndrome(MALS)?
Median Arcuate Ligament Syndrome(MALS) is a rare disorder characterized by upper abdominal pain caused by the pressing of tissue called Median Arcuate Ligament (a muscular fibrous band of the diaphragm) in the chest area or due to the compression of Blood carrying artery (Celiac Artery) to the upper abdomen. Mostly this situation is faced by the person during exhalation. This chronic pain increases due to more eating or sometimes even because of exercise. The Median Arcuate Ligament runs across the largest blood-carrying vessel in the body (Aorta) and sets on the Celiac Artery without causing any problem, but the Celiac artery varies from person to person. So, when the ligament or the celiac artery is not in place, it causes MALS. This problem is mostly faced due to the reduced flow of blood to the lower abdomen organs.
Other names for MALS are:
- Celiac artery compression
- Celiac axis syndrome
- Dunbar syndrome
- Harjola-Marable syndrome
Symptoms
It is a very rare disease and the symptoms are very few and often misjudged for normal stomach pain.
- Pain in the abdomen especially after having a meal, exercise, or shifting of the body- A person having MALS often feels pain in the abdomen after eating the meal, which is due to the tightening of the Median Arcuate Ligament. Also, after exercise, due to heavy breathing, immense pain is faced by the person.
- Loss of body weight- As a person eats fewer meals due to the chronic pain in the abdomen, the patient starts losing the appetite and which leads to a loss of body weight which can be even up to 10 kg. The chronic pain of MALS is intolerable if not treated and the person starts to avoid food to escape from this pain.
- Vomiting and Nausea- Often some patients face vomiting and nausea after eating food along with the pain in the chest.
- Swelling in the abdomen or Bloating- Usually due to MALS a person might feel bloat in the stomach which can occur sometimes after eating a meal, while, swelling can be the reason for excessive body movements.
- Diarrhea- In this situation, a person experiences watery stool and an urgent need to bowel multiple times a day. In this situation, the person might lose his water count in the body and is due to an intestinal infection.
Diagnosis
There is no specific test to determine MALS without a proper check-up yet it can be treated with the help of surgery. The doctor will carefully examine you and ask a few questions. Bloodwork and image testing will help the doctor to rule out the root cause of Stomach pain. Diagnosis is done with the help of CT angiography or Triphasic CT abdomen. Ct Angiography is the advanced way to examine the situations of the internal organs with the help of a powerful X-Ray machine that provides the images of the organs. A triphasic CT abdomen uses a contrasting scan to produce images of the body organ which can be seen on the screen By this, the conditions of blood veins and arteries can be determined. Proper placements of arteries are examined and the further medical procedure starts.
Treatment
MALS is a chronic condition that will not go on its own. Surgical treatment is the only way to deal with it. Median Arcuate Ligament Syndrome is treated by releasing the compressed Celiac Artery which is done with the help of a laparoscopic approach. Laparoscopic surgery enables surgeons to access the inside of the patient body without making any large incisions. A small hole is made in the abdomen to introduce the surgical equipment and access the internal body parts. By this surgical procedure, Median Arcuate Ligament is divided and separated from the blood vessel to prevent it from further compressions. This treatment is done by a Top Specialist and is nearly painless and scarless.
What to do after Median Arcuate Ligament Syndrome Surgery?
The patient is to stay in the hospital for approximately 2 to 3 days. Physical therapy will be given by the doctors after the surgery; like a walk around the room. Not only this, the patient is under the proper observation of the medical staff and the doctor will make sure about the digestive tract is functioning normally. A Diet along with a few medications is recommended for the patient. Once the patient returns to a normal diet and has no problem digesting, the patient is discharged from the hospital.
If you are suffering from Median Arcuate Ligament Syndrome and looking for a solution to the same. Then you must definitely contact us by booking an appointment or calling us directly on – 91 98889-58889. Our Medical Team is always there for all patients during working hours and days.