title: Doppler ultrasound diagnosis of an unusual variant of median arcuate ligament syndrome: concomitant involvement of celiac and superior mesenteric arteries. A case report.
abstract: Median arcuate ligament syndrome (MALS), also known as celiac artery compression syndrome is a rare condition characterized by chronic mesenteric ischemia, secondary to the compression of the celiac artery by the median arcuate ligament. Occasionally, in addition to the celiac artery, the superior mesenteric artery may be partially compressed by the median arcuate ligament. We report a case with complaints of chronic abdominal pain from compression of both the celiac artery and the superior mesenteric artery due to MALS, which was primarily detected by Doppler ultrasound. The diagnosis was confirmed with CT-angiography.
authors.affiliation: Sisli Hamidiye Etfal Training and Research Hospital, Department of Radiology, Istanbul. denizakan@gmail.com.
authors.forename: Deniz
authors.initials: D
authors.lastname: Akan
authors.affiliation: Sisli Hamidiye Etfal Training and Research Hospital, Department of Radiology, Istanbul.
authors.forename: Alper
authors.initials: A
authors.lastname: Ozel
authors.affiliation: Bingol State Hospital, Department of Radiology, Bingol, Turkey.
authors.forename: Ozge
authors.initials: O
authors.lastname: Orhan
authors.affiliation: Sisli Hamidiye Etfal Training and Research Hospital, Department of General Surgery, Istanbul, Turkey.
authors.forename: Emre
authors.initials: E
authors.lastname: Bozdag
authors.affiliation: Sisli Hamidiye Etfal Training and Research Hospital, Department of Radiology, Istanbul.
authors.forename: Muzaffer
authors.initials: M
authors.lastname: Basak
mesh_terms: D000328:Adult; 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; D017538:Mesenteric Artery, Superior / Q000000981:diagnostic imaging*; D008641:Mesenteric Vascular Occlusion / Q000000981:diagnostic imaging*; D018608:Ultrasonography, Doppler / Q000379:methods*