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Case Reports
. 2020:76:64-68.
doi: 10.1016/j.ijscr.2020.09.157. Epub 2020 Sep 28.

Laparoscopic management of celiac artery compression syndrome: A case report

Sharad Sharma  1 , Vimal Someshwar  2 , Farah Ingale  3
Affiliations
Case Reports

Laparoscopic management of celiac artery compression syndrome: A case report

Sharad Sharma et al. Int J Surg Case Rep. 2020.

Abstract

Introduction: Celiac artery compression syndrome is a rare disorder found mainly in young females. It many a times goes undiagnosed as the symptoms are non-specific and varied.

Presentation of the case: We present a case of celiac artery compression syndrome in a young female where laparoscopic median arcuate ligament release with celiac ganglionectomy was effective in relieving the symptoms.

Discussion: Commonly they may present with abdominal pain, vomiting and diarrhea but there is absence of significant clinical signs. High level of suspicion and the right imaging techniques like the lateral aortogram, helps us to clinch the diagnosis.

Conclusion: Laparoscopic release of celiac artery compression is a safe and effective method to treat this uncommon disease.

Keywords: Case report; Celiac artery; Celiac plexus; Median arcuate ligament.

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Figures

Fig. 1
Fig. 1
CT scan showing hook or J shape of the C (indicated by the white arrow).
Fig. 2
Fig. 2
Lateral inspiratory and expiratory angiogram of celiac trunk with orange arrows pointing to the hook deformity.
Fig. 3
Fig. 3
Laparoscopic port positions.
Fig. 4
Fig. 4
A - Division of Median arcuate ligament fibres (white arrow), B - Division of Celiac plexus neural tissue (yellow arrow).
Fig. 5
Fig. 5
Completed division of all neuro-muscular and fibro-fatty tissue overlying the Celiac Artery.
See this image and copyright information in PMC

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