SUCCESSFUL AND STENTING OF THORACO ABDOMINAL IN A CASE OF MEDIAN ARCUATE LIGAMENT SYNDROME

Median Arcuate Ligament Syndrome (MALS) or Celiac Artery Compression Syndrome (CACS) is a rare clinical entity, and presents as symptoms of acute intestinal obstruction. CT angiography is diagnostic in a hemodynamically stable patient. Treatment modalities of choice still remain controversial. In patients with acute presentations it is usually managed by surgical (exploratory laparotomy/ laparoscopic) repair or endovascular repair or combined interventions. We hereby present a case of 33 years old gentleman who was diagnosed to have acute intestinal obstruction secondary to MALS and underwent emergency exploratory laparotomy, adhesiolysis and release of median arcuate ligament followed by angioplasty and stenting of the Thoracic Aorta