Pediatric Chronic Abdominal Pain and Median Arcuate Ligament Syndrome: A Review and Psychosocial Comparison

Chronic abdominal pain (CAP) occurs in children and adolescents with a reported prevalence of 4% to 41% with significant direct and indirect costs to the child, family, and society. Median arcuate ligament syndrome (MALS) is a vascular compression syndrome of the celiac artery that may cause symptom...

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Published inPediatric annals Vol. 45; no. 7; pp. e257 - e264
Main Authors Mak, Grace Zee, Lucchetti, Amanda R, Drossos, Tina, Fitzsimmons-Craft, Ellen E, Accurso, Erin C, Stiles-Shields, Colleen, Newman, Erika A, Skelly, Christopher L
Format Journal Article
LanguageEnglish
Published United States SLACK INCORPORATED 01.07.2016
Subjects
Abdomen
Abdominal Pain - etiology
Adolescent
Adolescents
Biological Sciences
Body Composition
Body Weight
Celiac Artery - abnormalities
Child
Chronic Pain - etiology
Constriction, Pathologic - complications
Constriction, Pathologic - diagnosis
Constriction, Pathologic - psychology
Departments
Etiology
Female
Humans
Male
Median Arcuate Ligament Syndrome
Medical diagnosis
Medical Evaluation
Neuropsychology
Pain
Patients
Pediatrics
Physicians
Preventive Medicine
Psychiatry
Resistance (Psychology)
Scientific Concepts
Self Efficacy
Social psychology
Surgery
Vein & artery diseases
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Summary:Chronic abdominal pain (CAP) occurs in children and adolescents with a reported prevalence of 4% to 41% with significant direct and indirect costs to the child, family, and society. Median arcuate ligament syndrome (MALS) is a vascular compression syndrome of the celiac artery that may cause symptoms of epigastric pain and weight loss and is a frequently overlooked cause of CAP in the pediatric population. We have observed that the psychosocial presentation of patients with MALS is notable for various psychiatric comorbidities. In this article, we review MALS as well as our study results of the psychosocial profile of 30 MALS patients. Our data suggest that children and adolescents with MALS have similar psychosocial profiles to children with other gastrointestinal disorders resulting in CAP. The overlap of physical and psychosocial symptoms of patients who have MALS with other CAP disorders leads us to recommend that patients with CAP should be evaluated for MALS. [Pediatr Ann. 2016;45(7):e257-e264.].
Bibliography:ObjectType-Article-2
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ISSN:0090-4481
1938-2359
DOI:10.3928/00904481-20160613-01