Narwani Pooja, Khanna Navin, Rajendran Ishwariya, Kaawan Hesham, Al-Sam Rafid
Department of Radiology, The Pennine Acute Hospitals NHS Trust, UK.
Department of Medicine, The Pennine Acute Hospitals NHS Trust, UK.
Radiol Case Rep. 2021 Sep 16;16(11):3614-3617. doi: 10.1016/j.radcr.2021.06.093. eCollection 2021 Nov.
Median arcuate ligament syndrome or celiac artery compression syndrome is one of the abdominal vascular compression syndromes due to compression of proximal celiac artery by the median arcuate ligament. The median arcuate ligament unites diaphragmatic crura on either side at the level of aortic hiatus. The ligament has a low insertion causing compression of the celiac artery resulting in clinical symptoms of postprandial pain and weight loss. It is a rare syndrome, detected incidentally on routine Computed Tomography abdomen and pelvis studies. We present a rare case of a 35-year-old female who presented with abdominal pain. She was evaluated by Computed Tomography scan of the abdomen and pelvis. Ultrasound Doppler of mesenteric vasculature helped detect celiac artery stenosis. A referral to the vascular surgery department was made; however, the patient was managed conservatively.
正中弓状韧带综合征或腹腔干压迫综合征是一种腹部血管压迫综合征，由正中弓状韧带压迫腹腔干近端所致。正中弓状韧带在主动脉裂孔水平连接两侧的膈脚。该韧带附着点较低，导致腹腔干受压，从而产生餐后疼痛和体重减轻等临床症状。这是一种罕见的综合征，常在腹部和盆腔常规计算机断层扫描检查中偶然发现。我们报告一例罕见的35岁女性腹痛病例。她接受了腹部和盆腔计算机断层扫描评估。肠系膜血管超声多普勒检查有助于发现腹腔干狭窄。已转诊至血管外科；然而，该患者接受了保守治疗。
