Abstract
Compression from median arcuate ligament was observed during multidetector 64-row computed tomography in a Caucasian 30-year-old female. The patient was referred for examination to exclude anatomical pathologies causing hypertension. The examination demonstrated that left renal artery, which had its origin in the chest (at the level of upper one-third of Th12), was compressed as it passed by median arcuate ligament of the diaphragm. In addition, aortic compression and kinked shape was also revealed.
Highlights
Case reportMedian arcuate ligament syndrome (MALS), commonly called celiac artery compression syndrome (CACS), is a condition attributed to compression of celiac trunk (CT) and possibly celiac ganglia by median arcuate ligament (MAL)
We report the first case of coexistent compression of both left renal artery and aorta by median arcuate ligament with kinked aorta
The MAL is a tendinous band that connects the medial borders of the diaphragm crura on either side of the aortic hiatus
Summary
An unusual case of left renal artery compression: a rare type of median arcuate ligament syndrome. This article is published with open access at Springerlink.com
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