我看到了正中弓状韧带综合征的 "钩 "征。

IF 1.8 4区 医学 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Clinical Imaging Pub Date : 2024-08-02 DOI:10.1016/j.clinimag.2024.110249
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引用次数: 0

摘要

钩状征是通过计算机断层扫描(CT)在腹腔动脉矢状切面上观察到的一种放射学发现,表明腹腔动脉受到压迫。它是指腹腔动脉近端因受到正中弓状韧带的外在压迫而呈钩状。如果患者同时伴有腹部症状,则提示正中弓状韧带综合征(MALS)。我们通过双相超声波和腹部 CT 在一名 15 岁的男性身上发现了这一征象。他接受了腹腔镜正中弓状韧带松解术,随访时症状完全消失。
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I saw the “hook” sign of median arcuate ligament syndrome

The hook sign is a radiologic finding best appreciated on a sagittal view of the celiac artery with computed tomography (CT) that indicates compression of the celiac artery. It refers to the hooked-shape of the proximal celiac artery caused by extrinsic compression by the median arcuate ligament. When seen in a patient with concurrent abdominal symptoms, it suggests median arcuate ligament syndrome (MALS). We saw the sign in a 15-year-old male via duplex ultrasonography and abdominal CT. He underwent laparoscopic release of the median arcuate ligament and had full resolution of his symptoms at follow-up.

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来源期刊
Clinical Imaging
Clinical Imaging 医学-核医学
CiteScore
4.60
自引率
0.00%
发文量
265
审稿时长
35 days
期刊介绍: The mission of Clinical Imaging is to publish, in a timely manner, the very best radiology research from the United States and around the world with special attention to the impact of medical imaging on patient care. The journal''s publications cover all imaging modalities, radiology issues related to patients, policy and practice improvements, and clinically-oriented imaging physics and informatics. The journal is a valuable resource for practicing radiologists, radiologists-in-training and other clinicians with an interest in imaging. Papers are carefully peer-reviewed and selected by our experienced subject editors who are leading experts spanning the range of imaging sub-specialties, which include: -Body Imaging- Breast Imaging- Cardiothoracic Imaging- Imaging Physics and Informatics- Molecular Imaging and Nuclear Medicine- Musculoskeletal and Emergency Imaging- Neuroradiology- Practice, Policy & Education- Pediatric Imaging- Vascular and Interventional Radiology
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