Median arcuate ligament syndrome
45 year-old patient with upper abdominal pain
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The coeliac trunk seems kinked proximally by the median arcuate ligament. This finding was confirmed on sagittal reconstructions.
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Coeliac artery compression syndrome (also known as coeliac axis syndrome, median arcuate ligament syndrome and Dunbar syndrome) is characterised by upper abdominal angina secondary to compression of the coeliac trunk by the diaphragmatic crurae. ( proven with angiography - not shown here )