An unusual cause of epigastric pain and diaphoresis

被引：0
|
作者：
Georgopoulou, Vivian [1 ]
Gouridou, Evgenia [2 ]
Pyrpasopoulou, Athina [2 ]
Kozanidou, Andreana [2 ]
Papadopoulos, Christodoulos [3 ]
Tzikas, Stergios [3 ]
Sidiropoulou, Maria [1 ]
机构：
[1] Dept Radiol, Athens, Greece
[2] Dept Internal Med, Athens, Greece
[3] Hippokrateion Hosp, Cardiol Dept C, Athens, Greece
来源：
HELIYON | 2020年 / 6卷 / 02期
关键词：
Internal medicine; Emergency medicine; Medical imaging; Visceral angina; Median arcuate ligament; Celiac artery compression syndrome; MEDIAN ARCUATE LIGAMENT;
D O I：
10.1016/j.heliyon.2020.e03509
中图分类号：
O [数理科学和化学]; P [天文学、地球科学]; Q [生物科学]; N [自然科学总论];
学科分类号：
07 ; 0710 ; 09 ;
摘要：
The median arcuate ligament, or celiac artery compression syndrome is a rare syndrome, caused by extrinsic compression of the celiac trunk by the median arcuate ligament. Its symptomatology mainly comprises of visceral angina. Differential diagnosis includes cardiovascular angina, other vascular events and causes of vagotonia. The case reported here refers to a middle aged male patient who presented with intermittent epigastric pain and diaphoresis after a long drive. Diagnosis was made radiologically, during computed tomography scan angiography, which revealed a hook-like appearance of the celiac artery partially loosened during inspiration. Careful history and cautious reviewing of the imaging may refrain from further, unnecessary, diagnostic investigations.
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