Compression of the celiac artery by the median arcuate ligament is a common finding on imaging studies but is clinically significant in a minority of patients only. Symptoms are aspecific and include postprandial epigastric pain and weight loss. Pain can be constant or caused by exercise and may be associated with nausea, vomiting, bloating or diarrhea. Common causes associated with dyspepsia should always be excluded before incriminating a median arcuate ligament [1]. Surgical sectioning of the median arcuate ligament is the primary management of this syndrome and can be followed by percutaneous angioplasty and/or surgical revascularisation in case of failure [...]
Landen, S., Ballet, T., Delugeau, V., & Landen, C. (2018). Laparoscopic approach to median arcuate ligament syndrome (with video). Journal of visceral surgery, 155(2), 159-161. https://doi.org/10.1016/j.jviscsurg.2017.12.014 (Original work published 2018)