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  • Title: Laparoscopic treatment of celiac artery compression syndrome: case series and review of current treatment modalities.
    Author: Vaziri K, Hungness ES, Pearson EG, Soper NJ.
    Journal: J Gastrointest Surg; 2009 Feb; 13(2):293-8. PubMed ID: 18818978.
    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.
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