Laparoscopic management of celiac artery compression syndrome: A case report

Highlights • Celiac artery compression is a rare and under diagnosed condition in females with chronic abdominal pain. • Diagnosis is mainly through symptoms corelated with the angiogram findings. • Surgical division of the median arcuate ligament, celaic plexus and celiac ganglia is the main stay of the treatment. • Laparoscopic or robotic assisted technique is safe and preferred modality.
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.