Median arcuate ligament compression syndrome in monozygotic twins☆,☆☆,★
Section snippets
Case 1
A 27-year-old white woman was admitted with a progressive 3-month history of postprandial abdominal cramping, bloating, and occasional nausea and vomiting. An 8-pound weight loss was noted. Medical history was insignificant; there was no previous abdominal surgery, nor were there prior gastrointestinal complaints. She took no medications and did not smoke. There was no history of psychiatric illness. The physical examination result was unremarkable except for an epigastric bruit, which did not
DISCUSSION
Since its first descriptions in the early 1960s, 1 controversy has surrounded the diagnosis of MAL compression syndrome, also known as CA compression syndrome. Its existence has been questioned on several grounds: theoretically, that isolated obstruction of the CA from any cause should not result in visceral ischemia because of the presence of collateral channels; epidemiologically, that CA narrowing from extrinsic compression is a common arteriographic finding in asymptomatic individuals 2;
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Cited by (0)
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From the Departments of Surgery (Drs. Bech and Gewertz), Radiology (Drs. Loesberg and Rosenblum), and Pathology (Dr. Glagov), Pritzker School of Medicine, The University of Chicago.
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Reprint requests: Bruce L. Gewertz, MD, Department of Surgery, The University of Chicago, MC 5029, 5841 Maryland Ave., Chicago, IL 60637.
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