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{
    "pk": 748,
    "title": "Atypical Presentation of Median Arcuate Ligament Syndrome in the Emergency Department",
    "subtitle": null,
    "abstract": "Celiac artery compression syndrome, also called median arcuate ligament syndrome (MALS), is a rare condition in which the diaphragmatic crura compresses the celiac axis. This results in a constellation of primarily gastrointestinal (GI) symptoms including nausea, vomiting, postprandial abdominal pain, and weight loss. It is typically a diagnosis of exclusion and may be detected via several imaging techniques including ultrasound and computed tomography angiography. We present an atypical case of MALS detected in the emergency department (ED). We review the symptomatology, diagnostic workup, and treatment options here, as well as discuss implications concerning revisits to the ED for recurrent GI symptoms.",
    "language": "en",
    "license": {
        "name": "Creative Commons Attribution 4.0",
        "short_name": "CC BY 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by/4.0"
    },
    "keywords": [],
    "section": "Case Reports",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/9j35547v",
    "frozenauthors": [
        {
            "first_name": "Abby",
            "middle_name": "",
            "last_name": "Sapadin",
            "name_suffix": "",
            "institution": "Midwestern University Chicago College of Osteopathic Medicine, Department of Clinical Education, Downers Grove, Illinois",
            "department": "None"
        },
        {
            "first_name": "Ryan",
            "middle_name": "",
            "last_name": "Misek",
            "name_suffix": "",
            "institution": "Midwestern University Chicago College of Osteopathic Medicine, Department of Clinical Education, Downers Grove, Illinois",
            "department": "None"
        }
    ],
    "date_submitted": "2019-10-21T18:43:54-04:00",
    "date_accepted": "2019-10-21T18:43:54-04:00",
    "date_published": "2019-10-21T18:44:28-04:00",
    "render_galley": null,
    "galleys": [
        {
            "label": "",
            "type": "",
            "path": "https://journalpub.escholarship.org/uciem_cpcem/article/748/galley/503/download/"
        }
    ]
}