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Summary
Celiac artery compression syndrome, a debated condition, was diagnosed in two patients with abdominal pain and epigastric bruits. Surgical decompression was necessary for both due to poor response to conservative management.
Area of Science:
- Vascular Surgery
- Gastroenterology
- Diagnostic Imaging
Background:
- Celiac artery compression syndrome (CACS) is a controversial diagnosis.
- Despite debate, documented cases highlight its clinical significance.
- This report focuses on two surgically confirmed cases.
Observation:
- Two patients presented with abdominal pain and characteristic epigastric bruits.
- The bruit's diastolic component served as a key diagnostic clue.
- Both patients exhibited poor outcomes with non-surgical interventions.
Findings:
- Diagnosis of celiac artery stenosis was established in both cases.
- The presence of an abdominal bruit with a diastolic component was pivotal.
- Conservative treatment failed to alleviate symptoms in both patients.
Implications:
- Highlights the diagnostic value of epigastric bruits in CACS.
- Underscores the need for surgical intervention in refractory CACS cases.
- Contributes to the understanding and management of CACS.