title: A variant of the median arcuate ligament syndrome: are sagittal images enough for diagnosis?
abstract: Median arcuate ligament syndrome (MALS), also known as celiac artery compression syndrome, is a rare cause of abdominal discomfort, postprandial pain and weight loss. Doppler ultrasonography (USG), computed tomography (CT), magnetic resonance imaging (MRI), and selective catheter angiography can be used to identify this abnormality. Classically, the "fish hook" appearance is seen on sagittal images. In our case, mild stenosis (20 %) was seen at the origin of the celiac artery without typical "fish hook" appearance. Higher degree stenosis (55 %) was demonstrated on axial images. We are presenting a rare case of a MALS caused by prominent crura.
authors.affiliation: GATA Haydarpasa Teaching Hospital, 34668 Uskudar, Istanbul, Turkey. mzsaglam@yahoo.com
authors.forename: Muzaffer
authors.initials: M
authors.lastname: Saglam
authors.forename: Huseyin Onur
authors.initials: HO
authors.lastname: Sildiroglu
authors.forename: Mehmet
authors.initials: M
authors.lastname: Incedayi
authors.forename: Kemal
authors.initials: K
authors.lastname: Kara
authors.forename: Hasan
authors.initials: H
authors.lastname: Saygin
mesh_terms: D015746:Abdominal Pain / Q000175:diagnosis*; D000368:Aged; D002445:Celiac Artery / Q000002:abnormalities* / Q000000981:diagnostic imaging; D003251:Constriction, Pathologic / Q000000981:diagnostic imaging*; D003937:Diagnosis, Differential; D006801:Humans; D008297:Male; D000074742:Median Arcuate Ligament Syndrome; D011859:Radiography; D014463:Ultrasonography; D015431:Weight Loss