Median arcuate ligament syndrome

Case contributed by Dr Mahmoud Yacout Alabd

Presentation

Acute lower abdominal pain

Patient Data

Age: 71
Gender: Female

Tight ostial stenosis is seen at the coeliac 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 coeliac 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 coeliac compression seems rather asymptomatic.  The median arcuate ligament is a fibrous ligament crossing the aorta to connect the 2 diaphragmatic crurea.

PlayAdd to Share

Case information

rID: 46963
Case created: 26th Jul 2016
Last edited: 27th Jul 2016
System: Vascular
Inclusion in quiz mode: Included

Updating… Please wait.
Loadinganimation

Alert accept

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

Alert accept Thank you for updating your details.