Median arcuate ligament syndrome

Case contributed by Dr Ammar Haouimi

Presentation

Intermittent upper abdominal pain.

Patient Data

Age: 30 years
Gender: Male

Focal stenosis of the proximal celiac trunk is noted secondary to extrinsic compression from a thickened median arcuate ligament with moderate dilatation of the post-stenotic segment.

 

Case Discussion

CT features are most consistent with a median arcuate ligament syndrome due to celiac trunk compression by a thickened median arcuate ligament.  Usually, the patient presents a chronic abdominal pain, aggravated by supine position.

 

Additional contributor: A. Ramdani, MD

 

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