Clinical and Radiologic Review of Uncommon Cause of Profound Iron Deficiency Anemia: Median Arcuate Ligament Syndrome.
10.3348/kjr.2014.15.4.439
- Author:
Yasemin GUNDUZ
1
;
Kiyasettin ASIL
;
Yakup Ersel AKSOY
;
Lacin TATLI AYHAN
Author Information
1. Department of Radiology, Sakarya University Medical Faculty, Sakarya 54100, Turkey. dryasemingunduz@yahoo.com
- Publication Type:Case Reports
- Keywords:
Iron deficiency anemia;
Median arcuate ligament syndrome;
Gastric ulcer
- MeSH:
Abdominal Pain/*etiology;
Aged;
Anemia, Iron-Deficiency/*etiology;
Angiography/methods;
Arterial Occlusive Diseases/radiography;
Celiac Artery/*abnormalities/radiography;
Constriction, Pathologic/complications/*radiography;
Diaphragm;
Humans;
Male;
Recurrence;
Stomach Ulcer/complications/*radiography;
Syndrome;
Tomography, X-Ray Computed;
Weight Loss
- From:Korean Journal of Radiology
2014;15(4):439-442
- CountryRepublic of Korea
- Language:English
-
Abstract:
Median arcuate ligament syndrome is an anatomic and clinical entity characterized by dynamic compression of the proximal celiac artery by the median arcuate ligament, which leads to postprandial epigastric pain, vomiting, and weight loss. These symptoms are usually nonspecific and are easily misdiagnosed as functional dyspepsia, peptic ulcer disease, or gastropathy. In this report, we presented a 72-year-old male patient with celiac artery compression syndrome causing recurrent abdominal pain associated with gastric ulcer and iron deficiency anemia. This association is relatively uncommon and therefore not well determined. In addition, we reported the CT angiography findings and three-dimensional reconstructions of this rare case.