2015
DOI: 10.4103/0971-3026.155882
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Real-time ultrasound: Key factor in identifying celiac artery compression syndrome

Abstract: The median arcuate ligament syndrome (MALS) or celiac artery compression syndrome (CACS) is a rare entity, presenting clinically with postprandial abdominal pain and weight loss. The diagnosis is made on computed tomography (CT) angiography, which reveals extrinsic compression of the proximal part of the celiac artery by the median arcuate ligament, producing a characteristic hooked appearance. We report a case of the celiac artery compression syndrome, diagnosed by Doppler USG evaluation.

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Cited by 18 publications
(25 citation statements)
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“… 6 Combination of maximum expiratory peak velocity of >350 cm/s and deflection angle greater than 50° seems to be most reliable indicator for MALS on ultrasound. 6 , 7…”
Section: Discussionmentioning
confidence: 88%
“… 6 Combination of maximum expiratory peak velocity of >350 cm/s and deflection angle greater than 50° seems to be most reliable indicator for MALS on ultrasound. 6 , 7…”
Section: Discussionmentioning
confidence: 88%
“…The median arcuate ligament is an arch-like fibrous band that unites the diaphragmatic crura on either side of the aortic hiatus at the level of the first lumbar vertebral body. The ligament usually passes superior to the origin of the celiac artery; however, in 10-24% of the subjects, the ligament may cross anterior to the proximal portion of the celiac artery and compress the celiac axis resulting in compromised blood flow [2]. It is commonly seen in young patients aged between 20 and 40 years with a slight female predilection.…”
Section: Main Textmentioning
confidence: 99%
“…A arteriografia demonstra a compressão extrínseca do TC, enquanto a USV mostra aumentos de velocidades sistólica e diastólica durante a expiração voltando a níveis normais na inspiração. 234,235 A USV é utilizada tanto para o diagnóstico quanto para o seguimento dos pacientes submetidos ao tratamento cirúrgico e/ou endovascular. [236][237][238] Os critérios ultrassonográficos para o diagnóstico da síndrome do ligamento arqueado estão resumidos no Quadro 16 e ilustrados nas…”
Section: Síndrome De Compressão Do Tronco Celíaco Pelo Ligamento Arquunclassified