CASE 25: CT ABDOMEN

40F with weight loss and post prandial pain

Findings reveal a narrowing due to extrinsic compression of the origin of the celiac artery by median arcuate ligament. This gives a characteristic hook appearance. Post stenotic dilatation of the celiac artery is noted as well.

DISCUSSION

he median arcuate ligament syndrome (or celiac artery compression syndrome) was first described in 1963 by Harjola. It occurs in young patients (20-40y), and classically presents with post prandial pain

CT angiography and Color Doppler are useful in diagnosing this condition, DOppler shows increase in flow in celiax axis (above 150cm/s) at level of narrowing in supine position.

Further reading

Dr Raina Tembey
Bandra Holy Family Hospital