The following should be considered if celiac artery compression syndrome is suspected:

• it is a rare condition
• in this case, it presented as chronic postprandial abdominal pain
• narrowing of the celiac trunk at the diaphragm is non-specific and commonly seen in asymptomatic patients
• imaging findings should be correlated with the clinical history
• treatment is with surgical decompression

Laparoscopic surgical decompression was done for this patient with symptomatic improvement after surgery.