Multivisceral arterial compression by the median arcuate ligament in a 33-year-old woman

Compression of the superior mesenteric artery (SMA) by the median arcuate ligament (MAL) is a rare cause of MAL syndrome. This is a case of a 33-year-old woman with a history of postprandial abdominal pain who was found to have compression of the celiac artery and SMA by the MAL. In this case, both arteries were otherwise healthy, and release of the MAL resulted in resolution of the celiac artery and SMA stenosis and sustained symptomatic relief.