MEDIAN ARCUAT LIGAMENT SYNDROME, DIAGNOSE WITH MULTISLICE BT

Year 2010, Volume: 1 Issue: 3, - , 03.03.2015

Hanifi Bayaroğulları Ali Balcı İnan Korkmaz Rasim Yanmaz Ahmet Aslan Ramazan Davran

Abstract

Median Arkuat Ligament (MAL) syndrome happens when Median Arkuat Ligament pressures to root of celiac artery, and it generally reveals itself with the post-prandial pain. Because of the pressure, there will especially be a significant tightness during expirium. Mesenteric ischaemia and low blood flow to gastro-intestinal system occurs due to the tightness, and so that we see the characteristic clinical symptoms of the syndrome. We presented the patient who admitted to our outpatient clinic and was diagnosed with MDCT

Keywords

Median arcuat ligament, celiac artery, multislice computed tomography

MEDIAN ARKUAT LİGAMENT SENDROMU, MULTISLICE BT İLE TANISI

Abstract

Median arkuat ligament sendromu, Median Arkuat Ligamentin(MAL) çöliak arter köküne basısı sonucu oluşur ve kendini genelikle postprandial ağrı ile belli eder. Basıya bağlı, özelikle ekspiryumda daha belirgin darlık oluşur. Darlığa bağlı mezenterik iskemi ve gastro-intestinal sisteme yetersiz kan akımı olması nedeniyle sendroma ait karekteristik klinik bulgular görülür. Biz kliniğimize gelen ve MDBT ile tanısı konan hastayı sunuyoruz.Median arkuat ligament sendromu (MALS), çölyak arterin aortadan hemen orijin aldığı proksimal kesiminde, diafragmanın median arkuat ligamenti tarafından kompresyonu sonucu gastrointestinal sistemdeki iskemi neticesi gelişir. En önemli belirtisi postprandial karın ağrısıdır. Çölyak arterdeki darlık ve bazen oklüzyon, superior mezenterik arterden, özellikle gastroduodenal dalından kaynaklanan kollateral akım ile kompanse edilir. Biz olgumuzda median arkuat ligament sendromunda MDBT bulgularını gösterdik.

Keywords

Median arkuat ligament, çölyak arter, çok kesitli bilgisayarlı tomografi

References

• Foertsch T, Koch A, Singer H, Lang W. Celiac trunk compression syndrome requiring surgery in adolescent patients. J Pediatr Surg ; : –13. doi:10.1016/j.jpedsurg.2006.12.049
• Marcoccia A et al Chronic abdominal pain associated with intermittent compression of the celiac artery. Minerva Gastroenterol Dietol 2007; 53: 209–13
• Cina CS, Safar H. Successful treatment of recurrent celiac axis compression syndrome. A case report. Panminerva Med 2002; 44: 69–72.
• Bech FR. Celiac artery compression syndromes. Surg Clin North Am 1997; 77:409–24.
• Tribble CG, Harman PK, Mentzer RM. Celiac artery compression syndrome. Report of a case and rewiev of current opinion. Vasc Surg 1986; 20:120–9.
• Wolfman D, Bluth EI, Sossaman J. Median arcuate ligament syndrome. J Ultrasound Med ; 22: 1377–80.
• Cina CS, Safar H. Successful treatment of recurrent celiac axis compression syndrome. A case report. Panminerva Med 2002; 44: 69–72.
• Kopecky KK, Stine SB, Dalsing MC, Gottlieb K. Median arcuate ligament syndrome with multivessel involvement:diagnosis with spiral CT angiography.Abdomnal Imaging 1997; 22: –20.
• Scholbach T. Celiac artery compression syndrome in children, adolescents, and young adults: clinical and color duplex sonographic features in a series of 59 cases. J Ultrasound Med 2006; 25: 299–305.
• Kopecky KK, Stine SB, Dalsing MC, Gottlieb K. Median arcuate ligament syndrome with multivessel involvement: diagnosis with spiral CT angiography. Abdom Imaging 1997; 22: –20. doi:10.1007/s002619900199
• Horton KM, Talamini MA, Fishman EK. Median arcuate ligament syndrome: evaluation with CT angiography. Radiographics 2005; 25: 1177–82. doi:10.1148/rg.255055001
• Horton KM, Talamini MA, Fishman EK. Median arcuate ligament syndrome: evaluation with CT angiography. Radiographics 2005; 25: 1177–82.