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Case Reports
. 2010 Feb;24(2):91-3.
doi: 10.1155/2010/534654.

Recurrent abdominal pain and weight loss in an adolescent: celiac artery compression syndrome

Sarah Gander  1 , Daniel J Mulder, Sarah Jones, John D Ricketts, Don A Soboleski, Christopher J Justinich
Affiliations
Case Reports

Recurrent abdominal pain and weight loss in an adolescent: celiac artery compression syndrome

Sarah Gander et al. Can J Gastroenterol. 2010 Feb.

Abstract
in English, French

Celiac artery compression syndrome is a rare cause of abdominal pain and weight loss, likely caused by compression of the celiac artery or plexus by the median arcuate ligament. A case of celiac artery compression syndrome in a 17-year-old male patient with severe postprandial pain and weight loss is described. Imaging techniques such as computed tomography, angiography and Doppler ultrasound identified the abnormality, which was corrected by laparoscopic surgery.

Le syndrome de compression de l’artère cœliaque est une rare cause de douleurs abdominales et de perte de poids, probablement attribuables à la compression de l’artère cœliaque ou du plexus par l’arcade du psoas. Les auteurs décrivent un cas de syndrome de compression de l’artère cœliaque chez un adolescent de 17 ans manifestant de graves douleurs postprandiales et une perte de poids. Des techniques d’imagerie comme la tomodensitométrie, l’angiographie et l’échographie Doppler ont permis de repérer l’anomalie, qui a été corrigée par laparoscopie.

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Figures

Figure 1)
Figure 1)
Three-dimensional reconstruction computed tomography angiography, revealing a stenosis (arrow) involving the proximal celiac artery compatible with celiac artery compression syndrome
Figure 2)
Figure 2)
Direct catheter angiogram of the abdominal aorta at the origin of the celiac artery on expiratory (A) and inspiratory (B) phases of respiration, showing poststenotic dilation and location of the celiac artery stenosis (arrows)
Figure 3)
Figure 3)
Doppler ultrasound of the celiac artery on expiration (A) and inspiration (B), demonstrating decreased flow on inspiration
See this image and copyright information in PMC

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