Median arcuate ligament syndrome

Case contributed by Rasha Karam Mahmoud Mohammed
Diagnosis certain

Presentation

Post prandial epigastric pain.

Patient Data

Age: 40 years
Gender: Female

Abdomen

ct

Thickened median arcuate ligament (5mm) compresses the celiac trunk's origin, causing focal stenosis with post stenotic dilatation and giving the classic J or hook appearance on sagittal images.

Case Discussion

Median arcuate ligament syndrome or celiac artery compression syndrome is a cause of post-prandial pain.

The diagnosis is usually made by CT angiography on sagittal images.

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