Presentation
A middle-aged patient presented with chronic epigastric postprandial pain, nausea, vomiting, and 10 Kg weight loss through 4 months.
Patient Data
CT scan in axial and sagittal planes demonstrates compression of the proximal part of the celiac artery by diaphragmatic crura with post-stenotic dilatation. we can also see well abdominal organs enhancement—celiac artery compression.
Case Discussion
Celiac artery compression syndrome is a rare anatomical variant, characterized by compression of celiac trunk by diaphragmatic crura or median arcuate ligament. It is a challenging diagnosis because of its diagnosis of exclusion, which means we have to exclude other differential diagnoses causing abdominal pain and postprandial nausea and vomiting, such as cholecystitis, appendicitis, hepatitis, gastroparesis, and gastritis/peptic ulcers. Therefore, most patients are vulnerable to unnecessary surgeries, such as cholecystectomy and appendectomy, in an attempt to relieve pain.
This condition affects approximately two per 100,000 people; thus, it is rare. The condition is usually treated surgically, thereby relieving the compression of the celiac artery. Surgery can be either laparoscopic or robot assisted. Most of the patients responded well to this treatment.
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