Case Series

Imaging of retroperitoneal haemorrhage revealing median arcuate ligament syndrome

Younes El Hassani, Meriem Haloua, Badreeddine Alami, Meryem Boubbou, Mustapha Maaroufi, Moulay Youssef Alaoui Lamrani
South African Journal of Radiology | Vol 25, No 1 | a1993 | DOI: https://doi.org/10.4102/sajr.v25i1.1993 | © 2021 Younes El Hassani, Meriem Haloua, Badreeddine Alami, Meryem Boubbou, Mustapha Maaroufi, Moulay Youssef Alaoui Lamrani | This work is licensed under CC Attribution 4.0
Submitted: 16 September 2020 | Published: 15 January 2021

About the author(s)

Younes El Hassani, Department of Radiology, Faculty of Medicine and Pharmacy, Sidi Mohammed Ben Abdellah University, Hassan II University Hospital, Fez, Morocco
Meriem Haloua, Department of Radiology, Faculty of Medicine and Pharmacy, Sidi Mohammed Ben Abdellah University, Hassan II University Hospital, Fez, Morocco
Badreeddine Alami, Department of Radiology, Faculty of Medicine and Pharmacy, Sidi Mohammed Ben Abdellah University, Hassan II University Hospital, Fez, Morocco
Meryem Boubbou, Department of Radiology, Faculty of Medicine and Pharmacy, Sidi Mohammed Ben Abdellah University, Hassan II University Hospital, Fez, Morocco
Mustapha Maaroufi, Department of Radiology, Faculty of Medicine and Pharmacy, Sidi Mohammed Ben Abdellah University, Hassan II University Hospital, Fez, Morocco
Moulay Youssef Alaoui Lamrani, Department of Radiology, Faculty of Medicine and Pharmacy, Sidi Mohammed Ben Abdellah University, Hassan II University Hospital, Fez, Morocco


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Abstract

Coeliac artery compression stenosis caused by the median arcuate ligament can lead to aneurysm formation in the pancreatico-duodenal arteries that can eventually result in a spontaneous rupture leading to retroperitoneal haemorrhage. In this case series, we describe the cases of three patients, all presenting with sudden epigastric pain, diagnosed as spontaneous haematoma, complicating a median arcuate ligament syndrome.

Keywords

median arcuate ligament syndrome; haematoma; pancreaticoduodenal aneurysm; retroperitoneal haemorrhage; epigastric pain.

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