Celiac artery compression syndrome

Discussion:

The median arcuate ligament syndrome is diagnosed based on both clinical presentation and radiologic features. It typically occurs in young female patients with epigastric pain, as in this patient. 

Low lying arcuate ligament insertion can be seen in asymptomatic people, this is not considered compression syndrome. The focal narrowing has a characteristic hooked appearance, which can help distinguish this condition from other causes of celiac artery narrowing, such as atherosclerotic disease.

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