Laparoscopic treatment of celiac artery compression syndrome: Case series and review of current treatment modalities

Khashayar Vaziri, Eric S. Hungness, Erik G. Pearson, Nathaniel J. Soper

Research output: Contribution to journalReview article

40 Scopus citations

Abstract

Introduction: Compression of the celiac artery by the diaphragmatic crura, the median arcuate ligament, or the fibrous periaortic ganglionic tissue results in a rare constellation of symptoms known as celiac artery compression syndrome (CACS). Anatomy: First described in 1963 by Harjola in a patient with symptoms of mesenteric ischemia, it remains an elusive diagnosis. Clinical Presentation: Patients commonly present with a wide variety of symptoms resulting in multiple diagnostic tests. Diagnosis: A firm diagnosis is difficult to establish, and treatment is equally challenging. These challenges are illustrated by the following case series, and evidence supporting current treatment modalities is reviewed. Treatment: We describe a laparoscopic approach to decompression of the celiac artery facilitated by intraoperative ultrasound.

Original languageEnglish (US)
Pages (from-to)293-298
Number of pages6
JournalJournal of Gastrointestinal Surgery
Volume13
Issue number2
DOIs
StatePublished - Feb 2009

Keywords

  • Celiac artery
  • Decompression
  • Laparoscopy
  • Mesenteric ultrasound

ASJC Scopus subject areas

  • Surgery
  • Gastroenterology

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