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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.
Abstract:
Celiac artery compression syndrome has been referred to in the literature as an entity in limbo, yet there have been many cases that have been well documented. This report describes two cases of abdominal pain with epigastric bruits in which the diagnosis of celiac artery stenosis was made. The abdominal bruit with its diastolic component had been the "tip-off" in both of these patients. Both patients did poorly with conservative treatment and eventually required surgical decompression.