Holding the Secret : A Rare Case of Nausea and Vomiting Due to Ligamentous Compression of the Celiac Axis
Copyright © 2020, Ali et al..
Dunbar syndrome also known as median arcuate ligament syndrome (MALS) or celiac artery compression syndrome (CACS) is a rare syndrome resulting from the external compression of the celiac trunk from the median arcuate ligament. A 78-year-old female with multiple chronic conditions presented with intermittent, post-prandial epigastric pain associated with early satiety, decreased appetite for òne year. Multiple tests including gastric emptying scan and hepatobiliary scan with cholecystokinin (CCK) were normal. Contrast-enhanced computed tomography (CECT) abdomen/pelvis showed thickening of a median arcuate ligament. Further imaging with end-inspiratory phase computed tomography (CT) angiography of the abdomen and 3D reconstruction of images, revealed approximately 1 cm length segment of proximal celiac arterial narrowing, measuring 70% maximally (at its origin) and characteristic hooked appearance of the proximal celiac artery with post-stenotic dilation diagnostic of MALS. Our case report emphasizes the importance of MALS in the differential diagnosis of chronic, intermittent abdominal pain.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2020 |
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| Erschienen: |
2020 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:12 |
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| Enthalten in: |
Cureus - 12(2020), 8 vom: 13. Aug., Seite e9726 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Ali, Farhan [VerfasserIn] |
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| Anmerkungen: |
Date Revised 28.09.2020 published: Electronic Citation Status PubMed-not-MEDLINE |
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| doi: |
10.7759/cureus.9726 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM315159278 |
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| 100 | 1 | |a Ali, Farhan |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Holding the Secret |b A Rare Case of Nausea and Vomiting Due to Ligamentous Compression of the Celiac Axis |
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| 500 | |a Date Revised 28.09.2020 | ||
| 500 | |a published: Electronic | ||
| 500 | |a Citation Status PubMed-not-MEDLINE | ||
| 520 | |a Copyright © 2020, Ali et al. | ||
| 520 | |a Dunbar syndrome also known as median arcuate ligament syndrome (MALS) or celiac artery compression syndrome (CACS) is a rare syndrome resulting from the external compression of the celiac trunk from the median arcuate ligament. A 78-year-old female with multiple chronic conditions presented with intermittent, post-prandial epigastric pain associated with early satiety, decreased appetite for òne year. Multiple tests including gastric emptying scan and hepatobiliary scan with cholecystokinin (CCK) were normal. Contrast-enhanced computed tomography (CECT) abdomen/pelvis showed thickening of a median arcuate ligament. Further imaging with end-inspiratory phase computed tomography (CT) angiography of the abdomen and 3D reconstruction of images, revealed approximately 1 cm length segment of proximal celiac arterial narrowing, measuring 70% maximally (at its origin) and characteristic hooked appearance of the proximal celiac artery with post-stenotic dilation diagnostic of MALS. Our case report emphasizes the importance of MALS in the differential diagnosis of chronic, intermittent abdominal pain | ||
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