నైరూప్య

Celiac artery compression syndrome.

Hitesh Agrawal1*, Gunjan Dokania2, Kumar Ashish3, Paul N. Severin4,5

Background: Celiac artery compression syndrome is a rare vascular disease, that presents with constellation of symptoms including post-prantial epigastric pain, nausea, vomiting and weight loss. Patients presenting with above symptoms are initially managed conservatively. Case-description: We present a case of an adolescent female with post-prandial abdominal pain due to celiac artery compression by the median arcuate ligament. CT angiography highlights significant narrowing at the origin of the celiac artery with post stenotic dilation that was confirmed on an aortogram. Conclusion: Celiac artery compression syndrome should be kept in the differential diagnosis category for post-prandial epigastric pain associated with nausea and severe weight loss. Physicians require high index of suspicion for making this definitive diagnosis, if symptoms still persist despite conservative management. It may mimic functional gastrointestinal disorder, leading to diagnostic and therapeutic dilemmas.