case_images: PMC3169899_01
case_images: Axial CTA shows compression of the celiac axis by the median arcuate ligament (arrow).
case_images: JCIS-1-8-g001.jpg
case_images: PMC3169899_01_JCIS-1-8-g001.jpg
case_images: F1
case_images: A repeat colonoscopy showed no ulcers, but ultrasound and a subsequent CT angiogram (CTA) revealed compression of the celiac axis [Figure 1].
case_images: Sagittal CTA shows compression (arrow) of the celiomesenteric trunk by the median arcuate ligament with post-stenotic dilatation of the celiac and superior mesenteric arteries (arrowheads).
case_images: JCIS-1-8-g002.jpg
case_images: PMC3169899_01_JCIS-1-8-g002.jpg
case_images: F2
case_images: This was confirmed by sagittal [Figure 2] and three-dimensional reconstructions [Figure 3] that showed a common origin of the celiac axis and superior mesenteric artery (SMA) with approximately 70% narrowing, and post-stenotic dilation of the celiac axis and SMA.
case_images: (a) Sagittal oblique three-dimensional (3D) volume rendered (VR) image of the celiomesenteric trunk (arrow). (b) Magnified view of 3D VR image shows stenosis (arrow) at the origin of the celiomesenteric trunk.
case_images: JCIS-1-8-g003.jpg
case_images: PMC3169899_01_JCIS-1-8-g003.jpg
case_images: F3
case_images: This was confirmed by sagittal [Figure 2] and three-dimensional reconstructions [Figure 3] that showed a common origin of the celiac axis and superior mesenteric artery (SMA) with approximately 70% narrowing, and post-stenotic dilation of the celiac axis and SMA.
case_images: Coronal CT abdomen with IV contrast (status post bypass surgery), shows thrombotic occlusion (arrow) of the celiac vascular graft.
case_images: JCIS-1-8-g004.jpg
case_images: PMC3169899_01_JCIS-1-8-g004.jpg
case_images: F4
case_images: Of note, the patient developed a post-op thrombotic occlusion of the celiac vascular graft [Figure 4].