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Selective arteriography of the celiac trunk reveal stenosis of the artery due to compression by arcuate ligament.
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Angiotomography confirm the diagnosis (Fig. 1, Fig. 2).
Dissection of median arcuate ligament by laparoscopy.
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The celiac trunk with splenic artery and left gastric artery were identified and transection of the median arcuate ligament was performed (Fig. 3).
Angiotomography four weeks after laparoscopic surgery.
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Four weeks after laparoscopy an angiotomography was performed and the celiac trunk was successful decompressed with blood flow almost complete (Fig. 4).