To highlight the diagnostic challenges of median arcuate ligament syndrome (MALS) and its misdiagnosis as cannabis hyperemesis syndrome (CHS).
Approach:
Case Report: A 25-year-old woman with recurrent gastrointestinal symptoms was initially diagnosed with CHS. After further evaluation, imaging revealed celiac artery compression due to MALS.
Key Findings:
The patient had a history of recurrent vomiting episodes and was initially misdiagnosed with CHS despite negative evaluations.
Imaging revealed greater than 70% stenosis of the celiac artery, confirming the diagnosis of MALS.
Symptoms of MALS can overlap with more common gastrointestinal disorders, complicating the diagnostic process.
Interpretation:
The case highlights the diagnostic challenges of MALS and the importance of awareness among healthcare providers.
Limitations:
The case study is based on a single patient, limiting generalizability.
Management options for patients who decline surgery or are pregnant are not well-defined.
Conclusion:
Increased awareness of MALS is necessary to improve diagnostic accuracy. ---
