OBJECTIVE/BACKGROUND: @entity432 ( @entity432 ) @entity439 is a rare but clinically important form of @entity455 . A small proportion of these @entity439 are caused by compression of the artery by the median arcuate ligament (MAL). The objective of the study was to establish whether it is feasible and effective to treat @entity1756 without treating the @entity850 caused by the MAL. METHODS: From January 2007 to November 2014, 10 @entity1 were included. Standard embolization or surgical procedures were used to treat the @entity1756 , but the @entity850 itself was not treated. The primary end point was the feasibility and efficacy of embolization for the treatment of @entity1756 . The secondary end points included clinical data, imaging findings, the success rate of embolization and the outcome during follow up. RESULTS: All @entity1 presented with acute, non-specific @entity158 with @entity390 . An abdominal computed tomography scan revealed peri-pancreatic @entity1410 in all cases, and @entity438 were visible in six @entity1 . The @entity439 ranged from 2  mm to 10  mm in diameter and were variously located on the anterior @entity432 (n  =  1), the posterior @entity432 (n  =  3), and the branch of the dorsal pancreatic artery (n  =  6). Surgery was performed in two cases (with one @entity204 ). Embolization was successful in the other eight cases. The median length of hospital stay was 10 days (range 8-25 days). Over a median follow up period of 11 months (range 5-48 months), none of the @entity438 recurred. CONCLUSION: Rupture of a @entity438 caused by the MAL should always be considered in the differential diagnosis of acute @entity490 , because the condition requires specific management. Embolization is safe and has a high success rate. Surgery should only be performed when embolization fails.

@entity1756 Associated with XXXX Caused by the Median Arcuate Ligament: A Poorly Known Etiology of Acute @entity490 .

@entity1 :: ('9606', 'Species') :: ['patients'] @entity455 :: ('MESH:D014652', 'Disease') :: ['vascular disease'] @entity390 :: ('MESH:D009325', 'Disease') :: ['nausea'] @entity438 :: ('MESH:D002532', 'Disease') :: ['PDA aneurysm', 'PDA aneurysms'] @entity439 :: ('MESH:D000783', 'Disease') :: ['aneurysms', 'aneurysm'] @entity1410 :: ('MESH:D006406', 'Disease') :: ['hematoma'] @entity158 :: ('MESH:D010146', 'Disease') :: ['epigastric pain'] @entity490 :: ('MESH:D015746', 'Disease') :: ['abdominal pain'] @entity432 :: ('MESH:D001157', 'Disease') :: ['PDA', 'Pancreaticoduodenal artery'] @entity850 :: ('MESH:D003251', 'Disease') :: ['celiac stenosis'] @entity204 :: ('MESH:D003643', 'Disease') :: ['death'] @entity1756 :: ('MESH:D017542', 'Disease') :: ['ruptured aneurysms', 'ruptured PDA aneurysms']
@entity850 :: (MESH:D003251,Disease) :: ['Celiac Stenosis']
