Imaging of retroperitoneal haemorrhage revealing median arcuate ligament syndrome

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.