Metachronous rupture of a residual pancreaticoduodenal aneurysm after release of the median arcuate ligament: a case report

Background Multiple pancreaticoduodenal artery aneurysms in association with median arcuate ligament syndrome (MALS) are relatively rare. A treatment option, such as a median arcuate ligament (MAL) release or embolization of the aneurysms, should be considered in such cases, but the treatment criteria remain unclear.