Median arcuate ligament syndrome

Case contributed by Ammar Haouimi
Diagnosis almost certain


Chronic abdominal pain aggravated by supine position. No history of weight loss.

Patient Data

Age: 40 years
Gender: Male

There is focal stenosis of the proximal celiac trunk due to extrinsic compression by a thickened median arcuate ligament (thickness=6 mm), followed by moderate dilatation of the post-stenotic segment.

A small left adrenal mass is noted most likely adenoma (incidentaloma). 

Case Discussion

CT features of a median arcuate ligament syndrome. It is a celiac trunk compression by the thickened median arcuate ligament, a fibrous arch joins the diaphragmatic crura at the aortic hiatus. It commonly presents with chronic abdominal pain, aggravated by supine position.


Additional contributor: A. Ramdani, MD

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.