MEDIAN ARCUAT LIGAMENT SYNDROME, DIAGNOSE WITH MULTISLICE BT

Öz

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

Anahtar Kelimeler

• Median arcuat ligament
• celiac artery
• multislice computed tomography

MEDIAN ARKUAT LİGAMENT SENDROMU, MULTISLICE BT İLE TANISI

Öz

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.

Anahtar Kelimeler

• Median arkuat ligament
• çölyak arter
• çok kesitli bilgisayarlı tomografi

Kaynakça

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