An unusual cause of epigastric pain and diaphoresis
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 eve...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2020-02-01
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| Series: | Heliyon |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2405844020303546 |
| _version_ | 1811324266587619328 |
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| author | Vivian Georgopoulou Evgenia Gouridou Athina Pyrpasopoulou Andreana Kozanidou Christodoulos Papadopoulos Stergios Tzikas Maria Sidiropoulou |
| author_facet | Vivian Georgopoulou Evgenia Gouridou Athina Pyrpasopoulou Andreana Kozanidou Christodoulos Papadopoulos Stergios Tzikas Maria Sidiropoulou |
| author_sort | Vivian Georgopoulou |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-04-13T14:11:13Z |
| format | Article |
| id | doaj.art-b53834437f174803adfca5ee23b1dba3 |
| institution | Directory Open Access Journal |
| issn | 2405-8440 |
| language | English |
| last_indexed | 2024-04-13T14:11:13Z |
| publishDate | 2020-02-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Heliyon |
| spelling | doaj.art-b53834437f174803adfca5ee23b1dba32022-12-22T02:43:47ZengElsevierHeliyon2405-84402020-02-0162e03509An unusual cause of epigastric pain and diaphoresisVivian Georgopoulou0Evgenia Gouridou1Athina Pyrpasopoulou2Andreana Kozanidou3Christodoulos Papadopoulos4Stergios Tzikas5Maria Sidiropoulou6Dept of Radiology, GreeceDept of Internal Medicine, GreeceDept of Internal Medicine, Greece; Corresponding author.Dept of Internal Medicine, GreeceC’ Cardiology Dept, Hippokration Hospital, GreeceC’ Cardiology Dept, Hippokration Hospital, GreeceDept of Radiology, GreeceThe 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.http://www.sciencedirect.com/science/article/pii/S2405844020303546Internal medicineEmergency medicineMedical imagingVisceral anginaMedian arcuate ligamentCeliac artery compression syndrome |
| spellingShingle | Vivian Georgopoulou Evgenia Gouridou Athina Pyrpasopoulou Andreana Kozanidou Christodoulos Papadopoulos Stergios Tzikas Maria Sidiropoulou An unusual cause of epigastric pain and diaphoresis Heliyon Internal medicine Emergency medicine Medical imaging Visceral angina Median arcuate ligament Celiac artery compression syndrome |
| title | An unusual cause of epigastric pain and diaphoresis |
| title_full | An unusual cause of epigastric pain and diaphoresis |
| title_fullStr | An unusual cause of epigastric pain and diaphoresis |
| title_full_unstemmed | An unusual cause of epigastric pain and diaphoresis |
| title_short | An unusual cause of epigastric pain and diaphoresis |
| title_sort | unusual cause of epigastric pain and diaphoresis |
| topic | Internal medicine Emergency medicine Medical imaging Visceral angina Median arcuate ligament Celiac artery compression syndrome |
| url | http://www.sciencedirect.com/science/article/pii/S2405844020303546 |
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