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Case Reports
. 2015 Apr-Jun;25(2):202-5.
doi: 10.4103/0971-3026.155882.

Real-time ultrasound: Key factor in identifying celiac artery compression syndrome

Raina Anil Tembey  1 , Aneeta S Bajaj  1 , Prasad K Wagle  2 , Abdul Samad Ansari  3
Affiliations
Case Reports

Real-time ultrasound: Key factor in identifying celiac artery compression syndrome

Raina Anil Tembey et al. Indian J Radiol Imaging. 2015 Apr-Jun.

Abstract

The median arcuate ligament syndrome (MALS) or celiac artery compression syndrome (CACS) is a rare entity, presenting clinically with postprandial abdominal pain and weight loss. The diagnosis is made on computed tomography (CT) angiography, which reveals extrinsic compression of the proximal part of the celiac artery by the median arcuate ligament, producing a characteristic hooked appearance. We report a case of the celiac artery compression syndrome, diagnosed by Doppler USG evaluation.

Keywords: Celiac artery; Doppler USG; Doppler ultrasound; celiac artery compression syndrome; median arcuate ligament syndrome.

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Conflict of interest statement

Conflict of Interest: None declared.

Figures

Figure 1
Figure 1
Sagittal CT image shows focal narrowing at the origin of celiac artery
Figure 2
Figure 2
The angle between the celiac trunk and aorta is 52.5°
Figure 3 (A-D)
Figure 3 (A-D)
(A) Color Doppler USG shows an aliasing artifact. Spectral Doppler USG taken on (B) inspiration and (C) expiration. Significantly elevated peak systolic velocity is seen on expiration. Spectral Doppler measurements in erect position (D) show normal peak systolic and end-diastolic velocities
Figure 4 (A and B)
Figure 4 (A and B)
(A) B mode USG in supine position shows narrow caliber of the celiac artery origin (B) B mode USG in erect position shows normal caliber of the celiac artery origin, with a more vertical position of the celiac axis
Figure 5 (A and B)
Figure 5 (A and B)
(A) The red tape is holding the celiac axis below the ligament. The umbilical tape has the median arcuate ligament looped (B) The red tape is holding the celiac axis. The median arcuate ligament has been divided. The instrument shows the crus of diaphragm
Figure 6
Figure 6
Postoperative spectral Doppler USG reveals normal peak systolic and end diastolic velocities, even in the supine position, on expiration
See this image and copyright information in PMC

References

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