Retroperitoneal Hematoma: Rupture of Aneurysm in the Arc of Bühler Caused by Median Arcuate Ligament Syndrome

We herein report a case with aneurysm rupture in the arc of Bühler (AOB) caused by median arcuate ligament syndrome (MALS). The patient experienced a sudden onset of upper abdominal pain. Contrast-enhanced abdominal computed tomography (CT) showed an iso- to hyper-enhancing area mainly ranging from...

Descripción completa

Detalles Bibliográficos
Autores principales: Abe, Keiichiro, Iijima, Makoto, Tominaga, Keiichi, Masuyama, Satoshi, Izawa, Naoya, Majima, Yuichi, Irisawa, Atsushi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2019
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6376540/
https://www.ncbi.nlm.nih.gov/pubmed/30792583
http://dx.doi.org/10.1177/1179547619828716
_version_ 1783395579742650368
author Abe, Keiichiro
Iijima, Makoto
Tominaga, Keiichi
Masuyama, Satoshi
Izawa, Naoya
Majima, Yuichi
Irisawa, Atsushi
author_facet Abe, Keiichiro
Iijima, Makoto
Tominaga, Keiichi
Masuyama, Satoshi
Izawa, Naoya
Majima, Yuichi
Irisawa, Atsushi
author_sort Abe, Keiichiro
collection PubMed
description We herein report a case with aneurysm rupture in the arc of Bühler (AOB) caused by median arcuate ligament syndrome (MALS). The patient experienced a sudden onset of upper abdominal pain. Contrast-enhanced abdominal computed tomography (CT) showed an iso- to hyper-enhancing area mainly ranging from the dorsal aspect of the pancreatic head to the retroperitoneum around the right kidney. Abdominal angiography revealed marked stenosis in the origin of the celiac artery caused by MALS and a 7-mm saccular aneurysm in the AOB. Thus, we diagnosed the pain as having been caused by aneurysm rupture in the AOB due to MALS. The patient’s symptoms and anemia also improved to normal range without surgery. Careful follow-up, considering possible recurrence of aneurysm at other sites in the future, is essential.
format Online
Article
Text
id pubmed-6376540
institution National Center for Biotechnology Information
language English
publishDate 2019
publisher SAGE Publications
record_format MEDLINE/PubMed
spelling pubmed-63765402019-02-21 Retroperitoneal Hematoma: Rupture of Aneurysm in the Arc of Bühler Caused by Median Arcuate Ligament Syndrome Abe, Keiichiro Iijima, Makoto Tominaga, Keiichi Masuyama, Satoshi Izawa, Naoya Majima, Yuichi Irisawa, Atsushi Clin Med Insights Case Rep Case Report We herein report a case with aneurysm rupture in the arc of Bühler (AOB) caused by median arcuate ligament syndrome (MALS). The patient experienced a sudden onset of upper abdominal pain. Contrast-enhanced abdominal computed tomography (CT) showed an iso- to hyper-enhancing area mainly ranging from the dorsal aspect of the pancreatic head to the retroperitoneum around the right kidney. Abdominal angiography revealed marked stenosis in the origin of the celiac artery caused by MALS and a 7-mm saccular aneurysm in the AOB. Thus, we diagnosed the pain as having been caused by aneurysm rupture in the AOB due to MALS. The patient’s symptoms and anemia also improved to normal range without surgery. Careful follow-up, considering possible recurrence of aneurysm at other sites in the future, is essential. SAGE Publications 2019-02-07 /pmc/articles/PMC6376540/ /pubmed/30792583 http://dx.doi.org/10.1177/1179547619828716 Text en © The Author(s) 2019 http://www.creativecommons.org/licenses/by-nc/4.0/ This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (http://www.creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Case Report
Abe, Keiichiro
Iijima, Makoto
Tominaga, Keiichi
Masuyama, Satoshi
Izawa, Naoya
Majima, Yuichi
Irisawa, Atsushi
Retroperitoneal Hematoma: Rupture of Aneurysm in the Arc of Bühler Caused by Median Arcuate Ligament Syndrome
title Retroperitoneal Hematoma: Rupture of Aneurysm in the Arc of Bühler Caused by Median Arcuate Ligament Syndrome
title_full Retroperitoneal Hematoma: Rupture of Aneurysm in the Arc of Bühler Caused by Median Arcuate Ligament Syndrome
title_fullStr Retroperitoneal Hematoma: Rupture of Aneurysm in the Arc of Bühler Caused by Median Arcuate Ligament Syndrome
title_full_unstemmed Retroperitoneal Hematoma: Rupture of Aneurysm in the Arc of Bühler Caused by Median Arcuate Ligament Syndrome
title_short Retroperitoneal Hematoma: Rupture of Aneurysm in the Arc of Bühler Caused by Median Arcuate Ligament Syndrome
title_sort retroperitoneal hematoma: rupture of aneurysm in the arc of bühler caused by median arcuate ligament syndrome
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6376540/
https://www.ncbi.nlm.nih.gov/pubmed/30792583
http://dx.doi.org/10.1177/1179547619828716
work_keys_str_mv AT abekeiichiro retroperitonealhematomaruptureofaneurysminthearcofbuhlercausedbymedianarcuateligamentsyndrome
AT iijimamakoto retroperitonealhematomaruptureofaneurysminthearcofbuhlercausedbymedianarcuateligamentsyndrome
AT tominagakeiichi retroperitonealhematomaruptureofaneurysminthearcofbuhlercausedbymedianarcuateligamentsyndrome
AT masuyamasatoshi retroperitonealhematomaruptureofaneurysminthearcofbuhlercausedbymedianarcuateligamentsyndrome
AT izawanaoya retroperitonealhematomaruptureofaneurysminthearcofbuhlercausedbymedianarcuateligamentsyndrome
AT majimayuichi retroperitonealhematomaruptureofaneurysminthearcofbuhlercausedbymedianarcuateligamentsyndrome
AT irisawaatsushi retroperitonealhematomaruptureofaneurysminthearcofbuhlercausedbymedianarcuateligamentsyndrome

Ejemplares similares