Celiac Artery Compression Syndrome as an Uncommon Cause of Intractable Postprandial Abdominal Pain: A Case Report

Abstract

Celiac artery compression syndrome (CACS) is an uncommon and poorly understood condition. Compression of the celiac artery by the median arcuate ligament causes intractable postprandial abdominal pain, weight loss, vomiting, and nausea. We present a case of a 68-year-old male who suffered recurrent severe episodes of postprandial abdominal pain associated with occasional nausea, vomiting, and elevated blood pressure. The diagnostic workup was significant for celiac artery compression on computed tomography angiography. Diagnosis of CACS was made after the exclusion of the other possible pathologies, and the patient was referred to the surgical team for further management for median arcuate ligament release on an elective basis.

Celiac Artery Compression Syndrome in an Adolescent Male

“…The available surgical interventions include open, laparoscopic, or robotic ligament release, celiac ganglionectomy , and celiac artery revascularization [ 10 ]. Surgical management should be done for symptomatic patients and asymptomatic patients with more than 50% stenosis of the celiac artery [ 11 ].…”