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CASE REPORT
Year : 2018  |  Volume : 4  |  Issue : 3  |  Page : 112-114

Median arcuate ligament syndrome: A rare cause of epigastric pain


1 HOD, Department of Radiodiagnosis, Era's Lucknow Medical College and Hospital, Lucknow, Uttar Pradesh, India
2 Junior Resident, Department of Radiodiagnosis, Era's Lucknow Medical College and Hospital, Lucknow, Uttar Pradesh, India

Correspondence Address:
Vivek K Yadav
Junior Resident, Department of Radiodiagnosis, Era's Lucknow Medical College and Hospital, Lucknow, Uttar Pradesh
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.5005/jp-journals-10046-0121

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Aim: To diagnose and aid the treatment of a patient with an unknown cause of epigastric pain. Background: Harjola first described median arcuate ligament syndrome (aka celiac artery compression syndrome) in 1963. Typically it occurs in young patients (20–40 years age group) and is more common in lean women, presents with epigastric pain and weight loss. Case description: An 18-year-old male visited the emergency room with a complaint of recurrent episodes of abdominal pain. There was no past or any medical history of any previous illness. On physical examination, the patient was afebrile and had pallor. All the vitals were within normal limits. The abdominal examination did not reveal any significant abnormality. Laboratory investigations (Hb, GBP, TLC) were within normal limits. Conclusion: Median arcuate ligament syndrome is a rare clinical entity which can be found in normal asymptomatic people. In a few cases, however, celiac axis compression can cause symptoms which can be relieved with laparoscopic surgical decompression. Clinical significance: The median arcuate ligament syndrome as an entity must be kept in mind when no other cause of abdominal pain is zeroed on even after all the clinical examinations and investigations.


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