Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2022 Feb 22;14(2):e22483.
doi: 10.7759/cureus.22483. eCollection 2022 Feb.

A Case of Intractable Vomiting: Was It the Celiac Artery Compression?

Nardine Abdelsayed  1 , Kevin Parza  1 , Mohamed Faris  1
Affiliations
Case Reports

A Case of Intractable Vomiting: Was It the Celiac Artery Compression?

Nardine Abdelsayed et al. Cureus. .

Abstract

Celiac artery compression syndrome is a rare and poorly understood condition. Compression of the celiac artery by the median arcuate ligament causes intractable nausea, vomiting, and postprandial pain. We present a case of a 55-year-old male with a 50-pound unintentional weight loss and intractable vomiting, whose symptoms persisted despite robotic median arcuate ligament release. He later returned to the emergency department where he was found to have a low gallbladder ejection fraction on imaging indicative of biliary dyskinesia, for which he underwent a cholecystectomy. Eventually, his symptoms improved, and he was able to return to his baseline body weight.

Keywords: celiac artery compression; celiac artery compression syndrome; celiac axis syndrome; chronic cholecystitis; dunbar syndrome; intractable vomiting; medial arcuate ligament.

PubMed Disclaimer

Conflict of interest statement

This research was supported (in whole or in part) by HCA Healthcare and/or an HCA Healthcare-affiliated entity. The views expressed in this publication represent those of the author(s) and do not necessarily represent the official views of HCA Healthcare or any of its affiliated entities.

Figures

Figure 1
Figure 1. Sagittal view computed tomography angiography (CTA) of the abdomen and pelvis with a yellow arrow showing moderate median arcuate ligament compression of the celiac artery resulting in moderate ostial stenosis and post-stenotic dilatation
See this image and copyright information in PMC

References

    1. Celiac artery compression: Dunbar syndrome. Santos GM, Viarengo LM, Oliveira MD. https://doi.org/ J Vasc Bras. 2019;18:0. - PMC - PubMed
    1. Robotic-assisted laparoscopic median arcuate ligament release: 7-year experience from a single tertiary care center. Khrucharoen U, Juo YY, Sanaiha Y, Chen Y, Jimenez JC, Dutson EP. https://doi.org/ Surg Endosc. 2018;32:4029–4035. - PubMed
    1. A rare obstruction of the coeliac artery. Report of a case. Harjola PT. https://pubmed.ncbi.nlm.nih.gov/14083857/ Ann Chir Gynaecol Fenn. 1963;52:547–550. - PubMed
    1. Real-time ultrasound: key factor in identifying celiac artery compression syndrome. Tembey RA, Bajaj AS, Wagle PK, Ansari AS. Indian J Radiol Imaging. 2015;25:202–205. - PMC - PubMed
    1. Open and laparoscopic treatment of median arcuate ligament syndrome. Jimenez JC, Harlander-Locke M, Dutson EP. https://doi.org/ J Vasc Surg. 2012;56:869–873. - PubMed

Publication types

LinkOut - more resources