Abstract

The purpose of the Journal of the Belgian Society of Radiology is the publication of articles dealing with diagnostic and interventional radiology, related imaging techniques, allied sciences, and continuing education

Highlights

  • Stenosis with a hook like configuration of the celiac trunk with poststenotic dilatation (Fig. A-B, arrowheads at the celiac trunk, single arrowhead:origin, double arrowhead: stenosis and triple arrowhead: poststenotic dilatation; asterisk in aorta)

  • The celiac artery compression syndrome (CACS), known as the median arcuate ligament syndrome (MALS) or Dunbar’s syndrome, consists of a focal stenosis of the celiac artery arising as a consequence of compression by the median arcuate ligament

  • Some patients show a higher than normal origin of the celiac trunk, which may predispose to CACS

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Summary

Introduction

Stenosis with a hook like configuration of the celiac trunk with poststenotic dilatation (Fig. A-B, arrowheads at the celiac trunk, single arrowhead:origin, double arrowhead: stenosis and triple arrowhead: poststenotic dilatation; asterisk in aorta). A 41-year-old woman was referred to our institution for evaluation of recurrent cramping pain in the epigastrium since a couple of months. Contrast-enhanced computed tomography revealed a high grade stenosis with a hook like configuration of the celiac trunk with poststenotic dilatation (Fig. A-B, arrowheads at the celiac trunk, single arrowhead:origin, double arrowhead: stenosis and triple arrowhead: poststenotic dilatation; asterisk in aorta) . Ultrasound of the abdomen confirmed the stenosis which was more pronounced during expiration.

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