Teenager with post prandial epigastric pain

CT of median arcuate ligament syndrome
Sagittal MIP (left) and 3D (right) CT with contrast of the abdomen in the venous phase obtained in expiration shows focal narrowing of the superior aspect of the proximal celiac trunk resulting in it having a hooked or J appearance with the absence of associated atherosclerosis.

The diagnosis was median arcuate ligament syndrome.