Median arcuate ligament syndrome

Case contributed by Dr Mahmoud Yacout Alabd


Acute lower abdominal pain

Patient Data

Age: 71
Gender: Female

Tight ostial stenosis is seen at the celiac trunk ostium with the fibrous band making up the median arcuate ligament seen clearly compressing it from above. The artery and its branches showed, apart from some atherosclerotic changes, good distal opacification and caliber.

Case Discussion

Incidentally discovered celiac trunk compression by the median arcuate ligament causing tight ostial stenosis. The patient however turned out to have acute appendicitis which was the cause for her acute onset abdominal pain and presentation. The celiac compression seems rather asymptomatic.  The median arcuate ligament is a fibrous ligament crossing the aorta to connect the 2 diaphragmatic crurea.

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Case information

rID: 46963
Published: 26th Jul 2016
Last edited: 14th Aug 2019
System: Vascular
Inclusion in quiz mode: Included

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