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Lateral aortograms were obtained in 50 patients who had no abdominal pain or other gastrointestinal tract symptoms. Twenty-four per cent of the patients had significant narrowing of the proximal portion of the celiac axis.
Most of these vessels showed a configuration indicating compression from above by the median arcuate ligament of the diaphragm and/or the celiac plexus.
The surprisingly high frequency of occurrence of this lesion among asymptomatic individuals necessitates considerable caution in making the diagnosis of celiac compression or median arcuate ligament syndrome.
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