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Median arcuate ligament syndrome with multivessel involvement: diagnosis with spiral CT angiography
Authors:K. K. Kopecky  S. B. Stine  M. C. Dalsing  K. Gottlieb
Affiliation:(1) Department of Radiology, Indiana University School of Medicine, Indiana University Hospital, 550 N. University Boulevard, Indianapolis, IN 46202-5253, USA, US;(2) Department of Surgery, Indiana University School of Medicine, Indiana University Hospital, 550 N. University Boulevard, Indianapolis,IN 46202, USA, US;(3) Department of Medicine, Division of Gastroenterology, Indiana University School of Medicine, Indiana University Hospital,550 N. University Boulevard, Indianapolis, IN 46202, USA, US
Abstract:
Intestinal angina may be caused by compression of the celiac artery by the median arcuate ligament of the diaphragm. Aortography can suggest the diagnosis, but the diaphragm cannot be visualized by this examination. We report a symptomatic woman in whom spiral computed tomography-guided angiography demonstrated stenosis of the celiac artery, superior mesenteric artery, and both renal arteries due to diaphragmatic compression. Surgery was beneficial. Received: 15 August 1995/Accepted: 26 September 1995
Keywords:: Median arcuate ligament syndrome—  Celiac artery compression syndrome—  Mesenteric ischemia—  Intestinal angina
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