Median arcuate ligament syndrome

Case contributed by Heba Abdelmonem
Diagnosis probable

Presentation

Severe post postprandial abdominal pain.

Patient Data

Age: 25 years
Gender: Female

CT angiography

ct
This study is a stack
Sagittal C+
arterial phase
This study is a stack
Axial C+
arterial phase
This study is a stack
Coronal C+
arterial phase
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Info

Abnormal stenotic segment of the proximal celiac trunk being compressed by the median arcuate ligament followed by post stenotic dilatation.

Case Discussion

Median arcuate ligament syndrome is clinically characterized by severe postprandial abdominal pain with chronic weight loss. In our case the celiac trunk causes compression and luminal narrowing by the median arcuate ligament.  

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