An easily overlooked cause of abdominal pain.

Abstract

A 63 year old female presented to the emergency department with a several month history of intermittent right upper quadrant abdominal pain, early satiety with loss of appetite, and an unintentional weight loss of 8. She underwent a battery of tests that returned negative and subsequently sent for Computed tomographic angiography (CTA) of the abdomen revealing luminal stenosis of the proximal 1 cm of the celiac axis estimating 90% occlusion and a patent SMA and IMA with, typical for median arcuate ligament syndrome. The symptoms, diagnosis, and treatment options are discussed.

• Authors: Kyle Bennett, Andrew Rettew, Bilal Shaikh, Suzanne Supplee, Richard Alweis
• Journal: Journal of community hospital internal medicine perspectives (J Community Hosp Intern Med Perspect) Vol. 4 Issue 5 Pg. 25083 ( 2014) ISSN: 2000-9666 [Print] United States
• PMID: 25432644 (Publication Type: Journal Article)