unusual cause and treatment of uncontrolled hypertension

Median arcuate ligament syndrome (mals) is a rare benign condition typically affecting young females. it usually presents with chronic abdominal pain, nausea, vomiting and weight loss. they are usually diagnosed incidentally on mdct angiography. we report a rare adult male of mals which presented with a recurrent hypertensive urgency without any abdominal pain leading to an extensive workup and incidental diagnosis of mals which was successfully treated by angioplasty with stenting of celiac trunk without any complication.