Which symptom is associated with Median Arcuate Ligament Syndrome?

Which symptom is associated with Median Arcuate Ligament Syndrome?

• A. Pain with expiration
• B. Nausea after meals
• C. Weight loss
• D. Fever

Answer: (A)

Median arcuate ligament syndrome involves the diaphragmatic ligament compressing the proximal celiac artery, and this compression is dynamic. It tends to cause abdominal pain that worsens with expiration because as the diaphragm moves upward during expiration, the ligament tightens around the celiac axis, increasing ischemic pain. While postprandial pain, nausea, and weight loss can occur due to chronic symptoms, the hallmark feature that aligns with the mechanism is pain with expiration. Fever is not associated with this condition.

Median arcuate ligament syndrome involves the diaphragmatic ligament compressing the proximal celiac artery, and this compression is dynamic. It tends to cause abdominal pain that worsens with expiration because as the diaphragm moves upward during expiration, the ligament tightens around the celiac axis, increasing ischemic pain. While postprandial pain, nausea, and weight loss can occur due to chronic symptoms, the hallmark feature that aligns with the mechanism is pain with expiration. Fever is not associated with this condition.