Celiac axis compression by median arcuate ligament on computed tomography among asymptomatic persons

Soman, Seethu; Sudhakar, Sniya; Keshava, Shyamkumar Nidugala

doi:10.1007/s12664-010-0028-x

Cited by 21 publications

(16 citation statements)

References 2 publications

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“…However, radiation exposure to younger patients, especially angiographic findings obtained at full inspiration in 155 healthy asymptomatic kidney donors between 18 and 65 years of age showed narrowing of the celiac artery origin by more than 50% in eight individuals (5.2%). No significant collateral vessels were seen in any of the donors (5). To our knowledge, there are no published studies of the prevalence of MALS in the general population.…”

Section: Anatomy and Pathogenesismentioning

confidence: 63%

Multidetector CT of Vascular Compression Syndromes in the Abdomen and Pelvis

Lamba¹,

Tanner²,

Sekhon³

et al. 2014

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Certain abdominopelvic vascular structures may be compressed by adjacent anatomic structures or may cause compression of adjacent hollow viscera. Such compressions may be asymptomatic; when symptomatic, however, they can lead to a variety of uncommon syndromes in the abdomen and pelvis, including median arcuate ligament syndrome, May-Thurner syndrome, nutcracker syndrome, superior mesenteric artery syndrome, ureteropelvic junction obstruction, ovarian vein syndrome, and other forms of ureteral compression. These syndromes, the pathogenesis of some of which remains controversial, can result in nonspecific symptoms of epigastric or flank pain, weight loss, nausea and vomiting, hematuria, or urinary tract infection. Direct venography or duplex ultrasonography can provide hemodynamic information in cases of vascular compression. However, multidetector computed tomography is particularly useful in that it allows a comprehensive single-study evaluation of the anatomy and resultant morphologic changes. Anatomic findings that can predispose to these syndromes may be encountered in patients who are undergoing imaging for unrelated reasons. However, the diagnosis of these syndromes should not be made on the basis of imaging findings alone. Severely symptomatic patients require treatment, which is generally surgical, although endovascular techniques are increasingly being used to treat venous compressions.

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Section: Anatomy and Pathogenesismentioning

confidence: 63%

Multidetector CT of Vascular Compression Syndromes in the Abdomen and Pelvis

Lamba¹,

Tanner²,

Sekhon³

et al. 2014

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142

176

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“…However, one has to bear in mind that symptom-free existence of celiac trunk compression is estimated at 2.4-8% [1][2][3]. Authors from Korea prospectively evaluated the incidence and etiologies of celiac axis stenosis in 400 arteriograms of patients referred to them for chemoembolization of hepatic tumors.…”

Section: Epidemiologymentioning

confidence: 99%

“…Celiac artery compression syndrome (CACS) is a rare disease occurring in 0.4% of the population [1], although incidental finding of hemodynamically significant yet asymptomatic celiac artery compression occurs in 2.4-8% of the population [1][2][3]. The disease is caused by overgrowth of inferiorly placed median arcuate ligament of the diaphragm, causing celiac artery compression during the expiration phase.…”

Section: Introductionmentioning

confidence: 99%

Celiac artery compression syndrome. Mini-review

Rongies-Kosmol

Jakimowicz

2015

Acta Angiologica

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“…6 However, the degree of compression can be variably detected with these imaging techniques, 7 as the prevalence of patients with radiographic CAC who remained asymptomatic has been cited to be as high as 2e7%. 8,9 These findings lead other researchers to hypothesize whether chronic irritation or overstimulation of the celiac plexus may instead be the cause of MALS-related symptoms. 10 However, the lack of intra-abdominal neuromonitoring devices and clearly defined foregut neuropathways made the second hypothesis challenging to verify.…”

Section: Introductionmentioning

confidence: 99%