Celiac Artery Compression Syndrome in a Middle-age Woman Treated Laparoscopically

Area of Science:

• Gastroenterology
• Vascular Surgery
• Surgical Anatomy

Background:

• Celiac artery compression syndrome (CACS) involves the median arcuate ligament impinging on the celiac axis.
• Patients typically exhibit postprandial pain and gastroparesis symptoms, often necessitating a diagnosis of exclusion.
• Treatment focuses on alleviating celiac artery compression and associated neurolysis.

Observation:

• A 55-year-old female patient presented with symptoms consistent with Celiac artery compression syndrome.
• The patient's condition was diagnosed after excluding other potential causes.
• The primary symptoms included significant postprandial abdominal pain and signs of delayed gastric emptying.

Findings:

• Laparoscopic decompression of the median arcuate ligament was performed.
• The surgical intervention successfully relieved the anatomical compression of the celiac artery.
• Post-operative recovery was positive, with symptom improvement noted.

Implications:

• Laparoscopic decompression offers a minimally invasive approach for treating Celiac artery compression syndrome.
• This surgical technique can effectively resolve symptoms associated with median arcuate ligament syndrome.
• Further research into long-term outcomes and patient selection for this procedure is warranted.