MEDIAN ARCUATE LIGAMENT SYNDROME WITH MULTIVESSEL INVOLVEMENT - DIAGNOSIS WITH SPIRAL CT ANGIOGRAPHY

Intestinal angina may be caused by compression of the celiac artery by the median arcuate ligament of the diaphragm. Aortography can suggest the diagnosis, but the diaphragm cannot be visualized by this examina tion. We report a symptomatic woman in whom spiral computed tomography -guided angiography demonstrated stenosis of the celiac artery, superi or mesenteric artery, and both renal arteries due to diaphragmatic com pression. Surgery was beneficial.