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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Autores principales: Khiatah, Bashar, Jazayeri, Sam, Hubeny, Charles M., Nadav, Brian, Frugoli, Amanda
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2020
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7422076/
https://www.ncbi.nlm.nih.gov/pubmed/32832185
http://dx.doi.org/10.1155/2020/2636495
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author Khiatah, Bashar
Jazayeri, Sam
Hubeny, Charles M.
Nadav, Brian
Frugoli, Amanda
author_facet Khiatah, Bashar
Jazayeri, Sam
Hubeny, Charles M.
Nadav, Brian
Frugoli, Amanda
author_sort Khiatah, Bashar
collection PubMed
description 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.
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spelling pubmed-74220762020-08-20 Spontaneous Retroperitoneal Hemorrhage Secondary to Chronic Celiac Axis Compression Treated with Embolization Utilizing Cone Beam CT Khiatah, Bashar Jazayeri, Sam Hubeny, Charles M. Nadav, Brian Frugoli, Amanda Case Rep Radiol Case Report 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. Hindawi 2020-08-01 /pmc/articles/PMC7422076/ /pubmed/32832185 http://dx.doi.org/10.1155/2020/2636495 Text en Copyright © 2020 Bashar Khiatah et al. http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Khiatah, Bashar
Jazayeri, Sam
Hubeny, Charles M.
Nadav, Brian
Frugoli, Amanda
Spontaneous Retroperitoneal Hemorrhage Secondary to Chronic Celiac Axis Compression Treated with Embolization Utilizing Cone Beam CT
title Spontaneous Retroperitoneal Hemorrhage Secondary to Chronic Celiac Axis Compression Treated with Embolization Utilizing Cone Beam CT
title_full Spontaneous Retroperitoneal Hemorrhage Secondary to Chronic Celiac Axis Compression Treated with Embolization Utilizing Cone Beam CT
title_fullStr Spontaneous Retroperitoneal Hemorrhage Secondary to Chronic Celiac Axis Compression Treated with Embolization Utilizing Cone Beam CT
title_full_unstemmed Spontaneous Retroperitoneal Hemorrhage Secondary to Chronic Celiac Axis Compression Treated with Embolization Utilizing Cone Beam CT
title_short Spontaneous Retroperitoneal Hemorrhage Secondary to Chronic Celiac Axis Compression Treated with Embolization Utilizing Cone Beam CT
title_sort spontaneous retroperitoneal hemorrhage secondary to chronic celiac axis compression treated with embolization utilizing cone beam ct
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7422076/
https://www.ncbi.nlm.nih.gov/pubmed/32832185
http://dx.doi.org/10.1155/2020/2636495
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