Spontaneous Retroperitoneal Hemorrhage Secondary to Chronic Celiac Axis Compression Treated with Embolization Utilizing Cone Beam CT

Median arcuate ligament syndrome (MALS) is a rare and often misdiagnosed vascular pathology. In this paper, we discuss a 51-year-old female with MALS presenting with hypotension due to retroperitoneal hemorrhage. Currently, there is no consensus regarding the optimal treatment approach for such pati...

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Bibliographic Details
Main Authors: Bashar Khiatah, Sam Jazayeri, Charles M. Hubeny, Brian Nadav, Amanda Frugoli
Format: Article
Language:English
Published: Wiley 2020-01-01
Series:Case Reports in Radiology
Online Access:http://dx.doi.org/10.1155/2020/2636495
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Summary:Median arcuate ligament syndrome (MALS) is a rare and often misdiagnosed vascular pathology. In this paper, we discuss a 51-year-old female with MALS presenting with hypotension due to retroperitoneal hemorrhage. Currently, there is no consensus regarding the optimal treatment approach for such patients. This case report demonstrates the utility of conventional mesenteric angiography, cone beam CT with 3D reconstruction, and selective mesenteric transarterial embolization as an effective treatment approach for patients with spontaneous aneurysm rupture in MALS.
ISSN:2090-6862
2090-6870