Сeliac trunk compression syndrome in clinical practice

Celiac artery compression syndrome (CACS), also known as median arcuate ligament syndrome (MALS), is a rare condition caused by extrinsic compression of the celiac trunk by diaphragmatic anatomical structures. This review consolidates current concepts regarding the etiology, pathophysiology, clinical manifestations, diagnostic approaches, and treatment strategies for CACS. The discussion includes anatomical variability, the roles of vascular and neurogenic mechanisms in the development of pain, and comparative data on the efficacy of various surgical approaches. Special attention is paid to imaging modalities and clinical outcomes following celiac trunk decompression. The review highlights the importance of an individualized patient management strategy and the need for multidisciplinary collaboration.