ArticleClinical medicine insights. Case reports2019
Retroperitoneal Hematoma: Rupture of Aneurysm in the Arc of Bühler Caused by Median Arcuate Ligament Syndrome.
Article in Clinical medicine insights. Case reports, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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7 citing papers in PubMed, 9 citations in OpenAlex.
- Arc of Buhler pseudoaneurysm complicated by an arterioportal fistula: a combined endovascular and open surgical approach.Journal of surgical case reports · 2026Article
- Embolization of spontaneous retroperitoneal bleeding fed by aneurysmal arc of Bühler: Case report and technical considerations.Journal of vascular surgery cases and innovative techniques · 2026Article
- Aneurysm rupture in median arcuate ligament syndrome leading to duodenal stenosis: A case report.World journal of clinical cases · 2025Article
- Covered stent assisted coil embolization of large Buhler aneurysm in setting of chronic celiac trunk occlusion.CVIR endovascular · 2024Article
- Spontaneous retroperitoneal hematoma with duodenal obstruction with diagnostic use of endoscopic ultrasound: A case series and literature review.Clinical journal of gastroenterology · 2023Review
- Median arcuate ligament syndrome with retroperitoneal haemorrhage: A case report.World journal of clinical cases · 2022Article
- Coil Embolization of Arc of Buhler Aneurysm Rupture.Case reports in radiology · 2020Article
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7 authors at 1 institution in 1 country.
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No grant is acknowledged in the PubMed record.
Abstract
We herein report a case with aneurysm rupture in the arc of Bühler (AOB) caused by median arcuate ligament syndrome (MALS). The patient experienced a sudden onset of upper abdominal pain. Contrast-enhanced abdominal computed tomography (CT) showed an iso- to hyper-enhancing area mainly ranging from the dorsal aspect of the pancreatic head to the retroperitoneum around the right kidney. Abdominal angiography revealed marked stenosis in the origin of the celiac artery caused by MALS and a 7-mm saccular aneurysm in the AOB. Thus, we diagnosed the pain as having been caused by aneurysm rupture in the AOB due to MALS. The patient's symptoms and anemia also improved to normal range without surgery. Careful follow-up, considering possible recurrence of aneurysm at other sites in the future, is essential.
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