Related Experiment Video
Updated: Jun 23, 2025
06:26
Novel and Innovative Hybrid Technique for Type A Aortic Dissection
Published on: March 28, 2025
257
Celiac Artery Compression Syndrome in an Adolescent Male
1Pediatrics, Omni Family Health, California, USA.
Cureus
|June 19, 2024
Summary
Celiac artery compression syndrome, rare in children, can cause abdominal pain and weight loss. This case highlights an incidental abdominal bruit leading to diagnosis in a teen with unexplained weight loss and lymphadenopathy.
Area of Science:
- Pediatric Gastroenterology
- Vascular Surgery
Background:
- Celiac artery compression syndrome (CACS) is uncommon in pediatric patients.
- It can manifest with symptoms like abdominal pain, vomiting, bloating, and weight loss, or be asymptomatic.
- Median arcuate ligament syndrome is a congenital anomaly causing CACS, often presenting in younger individuals.
Observation:
- A 16-year-old male presented with mediastinal lymphadenopathy and significant unexplained weight loss.
- An abdominal bruit was incidentally discovered during physical examination.
- Diagnostic workup, including magnetic resonance angiography, confirmed celiac artery compression.
Findings:
- The patient's symptoms and incidental bruit led to the diagnosis of Celiac Artery Compression Syndrome.
- Further investigations, including chest CT and renal ultrasound, ruled out malignancy and renal artery stenosis, respectively.
- While substance abuse and atherosclerotic disease are risk factors in older adults, this case emphasizes the congenital nature of CACS in a younger patient.
Implications:
- This case underscores the importance of considering Celiac Artery Compression Syndrome in pediatric patients with unexplained weight loss and abdominal symptoms.
- Incidental findings like abdominal bruits can be crucial diagnostic clues.
- Referral to vascular surgery for potential median arcuate ligament release is indicated for symptomatic cases.
