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Updated: Aug 7, 2026
02:02
Full-Endoscopic Interlaminar Approach for Decompression of Lateral Recess Stenosis
Published on: February 24, 2023
Median arcuate ligament syndrome
Darcy Wolfman1, Edward I Bluth, Julie Sossaman
1Department of Radiology, Ochsner Clinic Foundation, 1514 Jefferson Hwy, New Orleans, LA 70121, USA.
Summary
Obtaining erect views during celiac artery sonography is crucial. This technique prevents misdiagnosis of celiac artery stenosis, ensuring accurate diagnosis of median arcuate ligament syndrome.
Area of Science:
- Medical Imaging
- Vascular Ultrasound
- Abdominal Sonography
Background:
- Celiac artery stenosis can be suggested by elevated velocities during respiratory maneuvers.
- Median arcuate ligament syndrome (MALS) can cause celiac artery compression.
Observation:
- Two patients presented with elevated celiac artery velocities during inspiration and expiration.
- Erect views normalized the elevated velocities in both patients.
Findings:
- Elevated celiac artery velocities during supine respiratory maneuvers can mimic stenosis.
- Erect views are essential for accurate celiac artery evaluation.
Implications:
- Including erect views in sonography prevents misdiagnosis of celiac artery stenosis.
- This approach aids in the correct diagnosis of median arcuate ligament syndrome.
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