Coeliac artery compression syndrome

Case contributed by Dr Fadi Aidi

Presentation

Non-specific upper abdominal pain.

Patient Data

Age: 35 years
Gender: Female
Modality: CT

Acute angulation and focal narrowing of the proximal coeliac trunk with a hooked appearance, resulting from indentation of its superior surface by the median arcuate ligament. There is also mild post-stenotic dilatation of coeliac axis.

 

Case Discussion

The median arcuate ligament syndrome is diagnosed based on both clinical presentation and radiologic features. It typically occurs in young female patients with epigastric pain, as in this patient. 

Low lying arcuate ligament insertion can be seen in asymptomatic people, this is not considered compression syndrome. The focal narrowing has a characteristic hooked appearance, which can help distinguish this condition from other causes of coeliac artery narrowing, such as atherosclerotic disease.

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Case Information

rID: 51653
Case created: 1st Mar 2017
Last edited: 13th Mar 2017
Inclusion in quiz mode: Included

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