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Enigma of Bowel Angina: Unraveling Celiac Trunk Stenosis

Abeer Qasim1, Venkata Sri Ramani Peesapati1, Jay Patel1

  • 1Internal Medicine, BronxCare Health System, New York, USA.

Cureus
|July 13, 2023
PubMed

Insights

Celiac artery compression syndrome, a rare cause of abdominal pain, involves narrowing of the celiac artery. This case highlights a 67-year-old female with severe stenosis managed conservatively.

Area of Science:

  • Vascular Surgery
  • Gastroenterology
  • Diagnostic Imaging

Background:

  • Celiac artery compression syndrome (CACS) is characterized by chronic abdominal pain due to celiac artery narrowing, often seen in middle-aged females.
  • Etiologies include atherosclerosis, median arcuate ligament syndrome, pancreatitis, and tumor invasion, leading to symptoms like post-prandial epigastric pain, weight loss, and nausea.
  • Collateral circulation often delays symptom onset in patients with CACS.

Keywords:
bowel angina caused by celiac trunk stenosisceliac artery stenosisceliac axis syndromedunbar syndromemedian arcuate ligament syndrome

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