Multidetector CT of vascular compression syndromes in the abdomen and pelvis

Ramit Lamba, Dawn T. Tanner, Simran Sekhon, John P McGahan, Michael T Corwin, Chandana G. Lall

Research output: Contribution to journalArticle

40 Citations (Scopus)

Abstract

Certain abdominopelvic vascular structures may be compressed by adjacent anatomic structures or may cause compression of adjacent hollow viscera. Such compressions may be asymptomatic; when symptomatic, however, they can lead to a variety of uncommon syndromes in the abdomen and pelvis, including median arcuate ligament syndrome, May-Thurner syndrome, nutcracker syndrome, superior mesenteric artery syndrome, ureteropelvic junction obstruction, ovarian vein syndrome, and other forms of ureteral compression. These syndromes, the pathogenesis of some of which remains controversial, can result in nonspecific symptoms of epigastric or flank pain, weight loss, nausea and vomiting, hematuria, or urinary tract infection. Direct venography or duplex ultrasonography can provide hemodynamic information in cases of vascular compression. However, multidetector computed tomography is particularly useful in that it allows a comprehensive single-study evaluation of the anatomy and resultant morphologic changes. Anatomic findings that can predispose to these syndromes may be encountered in patients who are undergoing imaging for unrelated reasons. However, the diagnosis of these syndromes should not be made on the basis of imaging findings alone. Severely symptomatic patients require treatment, which is generally surgical, although endovascular techniques are increasingly being used to treat venous compressions.

Original languageEnglish (US)
Pages (from-to)93-115
Number of pages23
JournalRadiographics
Volume34
Issue number1
DOIs
StatePublished - Jan 2014

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Pelvis
Abdomen
Blood Vessels
May-Thurner Syndrome
Superior Mesenteric Artery Syndrome
Flank Pain
Endovascular Procedures
Viscera
Multidetector Computed Tomography
Phlebography
Hematuria
Urinary Tract Infections
Nausea
Vomiting
Weight Loss
Veins
Ultrasonography
Anatomy
Hemodynamics

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Medicine(all)

Cite this

Multidetector CT of vascular compression syndromes in the abdomen and pelvis. / Lamba, Ramit; Tanner, Dawn T.; Sekhon, Simran; McGahan, John P; Corwin, Michael T; Lall, Chandana G.

In: Radiographics, Vol. 34, No. 1, 01.2014, p. 93-115.

Research output: Contribution to journalArticle

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