CT imaging findings of abdominopelvic vascular compression syndromes: what the radiologist needs to know

Abstract Abdominopelvic vascular compression syndromes include a variety of uncommon conditions characterized by either extrinsic compression of blood vessels by adjacent anatomical structures (i.e., median arcuate ligament syndrome, nutcracker syndrome, May-Thurner syndrome) or compression of hollo...

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Main Authors: Cecilia Gozzo, Dario Giambelluca, Roberto Cannella, Giovanni Caruana, Agita Jukna, Dario Picone, Massimo Midiri, Giuseppe Salvaggio
Format: Article
Language:English
Published: SpringerOpen 2020-03-01
Series:Insights into Imaging
Subjects:
Online Access:http://link.springer.com/article/10.1186/s13244-020-00852-z
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author Cecilia Gozzo
Dario Giambelluca
Roberto Cannella
Giovanni Caruana
Agita Jukna
Dario Picone
Massimo Midiri
Giuseppe Salvaggio
author_facet Cecilia Gozzo
Dario Giambelluca
Roberto Cannella
Giovanni Caruana
Agita Jukna
Dario Picone
Massimo Midiri
Giuseppe Salvaggio
author_sort Cecilia Gozzo
collection DOAJ
description Abstract Abdominopelvic vascular compression syndromes include a variety of uncommon conditions characterized by either extrinsic compression of blood vessels by adjacent anatomical structures (i.e., median arcuate ligament syndrome, nutcracker syndrome, May-Thurner syndrome) or compression of hollow viscera by adjacent vessels (i.e., superior mesenteric artery syndrome, ureteropelvic junction obstruction, ureteral vascular compression syndromes, portal biliopathy). These syndromes can be unexpectedly diagnosed even in asymptomatic patients and the predisposing anatomic conditions can be incidentally discovered on imaging examinations performed for other indications, or they can manifest with atypical abdominal symptoms and acute complications, which may lead to significant morbidity if unrecognized. Although computed tomography (CT) is an accurate noninvasive technique for their detection, the diagnosis remains challenging due to the uncommon clinical presentation and often overlooked imaging features. Dynamic imaging may be performed in order to evaluate patients with inconstant symptoms manifesting in a specific position. The purposes of this paper are to review the CT imaging findings of abdominopelvic vascular compression syndromes, correlating with anatomical variants and to provide key features for the noninvasive imaging diagnosis.
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spelling doaj.art-97ed94c5abb747d9905f0cc596b386452022-12-21T20:20:47ZengSpringerOpenInsights into Imaging1869-41012020-03-0111111310.1186/s13244-020-00852-zCT imaging findings of abdominopelvic vascular compression syndromes: what the radiologist needs to knowCecilia Gozzo0Dario Giambelluca1Roberto Cannella2Giovanni Caruana3Agita Jukna4Dario Picone5Massimo Midiri6Giuseppe Salvaggio7Sezione di Scienze Radiologiche, Biomedicina, Neuroscienze e Diagnostica avanzata (BIND), University of PalermoSezione di Scienze Radiologiche, Biomedicina, Neuroscienze e Diagnostica avanzata (BIND), University of PalermoSezione di Scienze Radiologiche, Biomedicina, Neuroscienze e Diagnostica avanzata (BIND), University of PalermoSezione di Scienze Radiologiche, Biomedicina, Neuroscienze e Diagnostica avanzata (BIND), University of PalermoRadiology Research Laboratory, Riga Stradins UniversitySezione di Scienze Radiologiche, Biomedicina, Neuroscienze e Diagnostica avanzata (BIND), University of PalermoSezione di Scienze Radiologiche, Biomedicina, Neuroscienze e Diagnostica avanzata (BIND), University of PalermoSezione di Scienze Radiologiche, Biomedicina, Neuroscienze e Diagnostica avanzata (BIND), University of PalermoAbstract Abdominopelvic vascular compression syndromes include a variety of uncommon conditions characterized by either extrinsic compression of blood vessels by adjacent anatomical structures (i.e., median arcuate ligament syndrome, nutcracker syndrome, May-Thurner syndrome) or compression of hollow viscera by adjacent vessels (i.e., superior mesenteric artery syndrome, ureteropelvic junction obstruction, ureteral vascular compression syndromes, portal biliopathy). These syndromes can be unexpectedly diagnosed even in asymptomatic patients and the predisposing anatomic conditions can be incidentally discovered on imaging examinations performed for other indications, or they can manifest with atypical abdominal symptoms and acute complications, which may lead to significant morbidity if unrecognized. Although computed tomography (CT) is an accurate noninvasive technique for their detection, the diagnosis remains challenging due to the uncommon clinical presentation and often overlooked imaging features. Dynamic imaging may be performed in order to evaluate patients with inconstant symptoms manifesting in a specific position. The purposes of this paper are to review the CT imaging findings of abdominopelvic vascular compression syndromes, correlating with anatomical variants and to provide key features for the noninvasive imaging diagnosis.http://link.springer.com/article/10.1186/s13244-020-00852-zComputed tomographyAbdomenVascular compression syndromeVascular syndromes
spellingShingle Cecilia Gozzo
Dario Giambelluca
Roberto Cannella
Giovanni Caruana
Agita Jukna
Dario Picone
Massimo Midiri
Giuseppe Salvaggio
CT imaging findings of abdominopelvic vascular compression syndromes: what the radiologist needs to know
Insights into Imaging
Computed tomography
Abdomen
Vascular compression syndrome
Vascular syndromes
title CT imaging findings of abdominopelvic vascular compression syndromes: what the radiologist needs to know
title_full CT imaging findings of abdominopelvic vascular compression syndromes: what the radiologist needs to know
title_fullStr CT imaging findings of abdominopelvic vascular compression syndromes: what the radiologist needs to know
title_full_unstemmed CT imaging findings of abdominopelvic vascular compression syndromes: what the radiologist needs to know
title_short CT imaging findings of abdominopelvic vascular compression syndromes: what the radiologist needs to know
title_sort ct imaging findings of abdominopelvic vascular compression syndromes what the radiologist needs to know
topic Computed tomography
Abdomen
Vascular compression syndrome
Vascular syndromes
url http://link.springer.com/article/10.1186/s13244-020-00852-z
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