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Living with Celiac trunk compression syndrome

A rare condition that causes long-lasting belly pain when an artery to the upper belly organs is squeezed.

Understanding Celiac trunk compression syndrome

Celiac trunk compression syndrome is a rare disorder with chronic, repeated belly pain from pressure on the celiac artery by a band of the diaphragm.

The celiac artery brings blood to the upper belly organs. It is squeezed by the median arcuate ligament, a fibrous band of the diaphragm. It can show up at a variety of ages. GARD says the cause is not fully understood, and blood vessel and nerve factors may both play a part.

Signs & symptoms

Symptoms vary from person to person. GARD lists these as the usual symptoms:

  • Long-lasting, repeated belly pain
  • Weight loss
  • An abnormal whooshing sound over the belly (abdominal bruit)

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Specialists who may be involved include digestive system specialists.

  3. Ask which tests can help

    Your care team will decide which exams and tests can confirm the diagnosis.

  4. Connect with expert centers

    National MALS Foundation may keep lists of experts for this condition.

Care & treatment

Care team
Digestive system specialists (gastroenterologists)
Expert care
Expert lists: National MALS Foundation
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with National MALS Foundation
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
Which tests can show whether the artery is compressed?
What treatment options are available?
Could another cause of belly pain be involved?

Quick facts

Symptoms usually starta variety of ages

GARD says the cause is not fully understood. It may involve a combination of blood supply (vascular) and nerve (neurogenic) factors.

Gastrointestinal

Also known as: celiac artery compression syndrome; dunbar syndrome; mals; median arcuate ligament syndrome

Patient organizations

Source: NIH GARD · Celiac trunk compression syndromeGARD ID 12308 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

You are more than your diagnosis

Perspectives from people navigating life with Celiac trunk compression syndrome.

Explore the Celiac trunk compression syndrome blog

Explore research for Celiac trunk compression syndrome

Explore actively recruiting Celiac trunk compression syndrome studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Celiac trunk compression syndrome with HealthSpark. Share your city to explore research near you.

  • Recruiting studies from ClinicalTrials.gov
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  • Eligibility is confirmed by the study team

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Powered by HealthSpark, our AI chat helper · Study information from ClinicalTrials.gov · Eligibility is confirmed by the study team.

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