Celiac Artery Compression Syndrome as an Uncommon Cause of Intractable Postprandial Abdominal Pain: A Case Report
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Updated: Aug 14, 2025

Multimodality Diagnosis of Mesenteric Ischemia
Published on: July 21, 2023
Ali M Mahgoub1, Ahmed H Abdelfattah2, Hadeel Dawoud3
1Gastroenterology and Hepatology Unit, Department of Internal Medicine, Mansoura University, Specialized Internal Medicine Hospital, Mansoura, EGY.
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.
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