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Imaging in median arcuate ligament syndrome
  1. Yashant Aswani,
  2. Hemangini Thakkar,
  3. Karan Manoj Anandpara
  1. Seth G S Medical College and KEM Hospital, Mumbai, Maharashtra, India
  1. Correspondence to Dr Yashant Aswani, aswaniyashant{at}

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An 18-year-old man presented with a 7-month history of abdominal pain, particularly in the epigastrium, and weight loss of 14 pounds. Symptoms were aggravated post meals. An abdominal sonogram, upper gastroendoscopy and colonoscopy, were inconclusive. A contrast-enhanced CT of the abdomen revealed kinking of the proximal coeliac artery due to the median arcuate ligament, creating a hooked appearance with post-stenotic dilation (figure 1). A repeat sonography with Doppler revealed a normal calibre coeliac artery in inspiration with a peak systolic velocity (PSV) of 147 cm/s (figure 2 …

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