scholarly journals A rare cause of secondary hypertension: median arcuate ligament compression of the renal artery diagnosed by CT angiography

2013 ◽  
Vol 2013 (jun03 1) ◽  
pp. bcr2013009937-bcr2013009937 ◽  
Author(s):  
S. Sari ◽  
S. Verim ◽  
A. K. Sivrioglu ◽  
U. Bozlar
Keyword(s):  
Renal Artery ◽  
Ct Angiography ◽  
Secondary Hypertension ◽  
Median Arcuate Ligament ◽  
Arcuate Ligament

scholarly journals Median Arcuate Ligament Syndrome: Evaluation with CT Angiography

Radiographics ◽  
2005 ◽  
Vol 25 (5) ◽  
pp. 1177-1182 ◽  
Author(s):  
Karen M. Horton ◽  
Mark A. Talamini ◽  
Elliot K. Fishman
Keyword(s):  
Ct Angiography ◽  
Median Arcuate Ligament ◽  
Median Arcuate Ligament Syndrome ◽  
Arcuate Ligament

scholarly journals Median Arcuate Ligament Compression of the Celiomesenteric Trunk

2011 ◽  
Vol 1 ◽  
pp. 8 ◽  
Author(s):  
Victor Lee ◽  
Mauricio Daniel Alvarez ◽  
Shweta Bhatt ◽  
Vikram S. Dogra
Keyword(s):  
Computed Tomography ◽  
Ct Angiography ◽  
Three Dimensional ◽  
Celiac Trunk ◽  
Median Arcuate Ligament ◽  
Rare Variation ◽  
Rare Phenomenon ◽  
Intestinal Angina ◽  
Arcuate Ligament ◽  
Celiomesenteric Trunk

Median arcuate ligament (MAL) syndrome is a controversial condition characterized by compression of the celiac trunk and symptoms of intestinal angina. We present a case of MAL compressing the celiomesenteric trunk, a rare variation. We report computed tomography (CT) angiography and three-dimensional reconstructions of this rare phenomenon.

scholarly journals An unusual case of left renal artery compression: a rare type of median arcuate ligament syndrome

2015 ◽  
Vol 38 (3) ◽  
pp. 379-382 ◽  
Author(s):  
Agata Arazińska ◽  
Michał Polguj ◽  
Andrzej Wojciechowski ◽  
Łukasz Trębiński ◽  
Ludomir Stefańczyk
Keyword(s):  
Renal Artery ◽  
Unusual Case ◽  
Left Renal Artery ◽  
Median Arcuate Ligament ◽  
Median Arcuate Ligament Syndrome ◽  
Rare Type ◽  
Arcuate Ligament

scholarly journals Management for traumatic hepatic injury diagnosed by contrast-enhanced ultrasonography in a patient with an occluded coeliac axis: a case report

2021 ◽  
Vol 49 (6) ◽  
pp. 030006052110199
Author(s):  
Young Hoon Sul ◽  
Yook Kim
Keyword(s):  
Case Report ◽  
Hepatic Artery ◽  
Hepatic Injury ◽  
Active Bleeding ◽  
Organ Injury ◽  
Solid Organ ◽  
Median Arcuate Ligament ◽  
Contrast Enhanced ◽  
Arcuate Ligament ◽  
Contrast Enhanced Ultrasonography

Transcatheter arterial embolization (TAE) is the standard of care for haemodynamically-stable patients with blunt hepatic injury but it is sometimes impossible due to unfavourable vascular anatomies. This case report describes a 43-year-old male patient with abdominal pain following a motorcycle accident. Based on computed tomography (CT) findings, he was diagnosed with high-grade hepatic injury with coeliac axis stenosis (CAS) due to compression by the median arcuate ligament, and an aberrant right hepatic artery. Contrast-enhanced ultrasonography (CEUS) demonstrated multiple high echogenic tubular and ovoid structures suggestive of active bleeding within the injured liver area. Angiography revealed unique interlobar and intrahepatic collateral vessels between the right and left hepatic arteries. Liver haemorrhages were also identified. Catheterization of the feeding arteries through the collateral pathway was unsuccessful, so a decision was made to cannulate the stenotic portion of the coeliac trunk with a 5-Fr Yashiro catheter. After several attempts, the microcatheter was successfully advanced coaxially into the common hepatic artery. Embolization was performed with a 1:2 mixture of N-butyl cyanoacrylate and iodized oil. Successful haemostasis was confirmed following TAE. CEUS helped clinicians identify active bleeding following traumatic solid organ injury. TAE was a safe and effective treatment strategy. Before performing TAE, attention should be given to the presence of CAS associated with compression by the median arcuate ligament.

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