Abstract
The celiac artery compression syndrome (or median arcuate ligament syn drome) is characterized by postprandial abdominal pain, an epigastric bruit, and arteriographic evidence of significant extrinsic compression of the celiac artery. Although the concept of extrinsic compression of vessels is well estab lished in vascular surgery, the existence of the celiac artery compression syn drome has been a matter of controversy. A patient relieved of celiac artery compression and postprandial pain is presented. A review of the controversy and an approach to evaluating patients suspected of having this type of com pression is outlined.
Get full access to this article
View all access options for this article.
References
1.
Lord Rsa
,
Stoney RJ
,
Wylie EJ
: Coeliac axis compression . Lancet
2 :795 -798 , 1968 .
2.
:
Michels NA
: Blood Supply and Anatomy of the Upper Abdominal Organs . Philadelphia , Lippincott , 1955 , p. 140 .
3.
Brandt LJ
,
Boley SJ
: Celiac axis compression syndrome: A critical review . Am J Dig Dis
23 :633 -640 , 1978 .
4.
Dunbar JD
, et al: Compression at the celiac trunk and abdominal angina . Am J Roentgen
95 :31 -743 , 1965 .
5.
Rob C.
: Surgical diseases of the celiac and mesenteric arteries . Arch Surg
93 :21 -32 , 1966 .
6.
Marable SA
, et al: Celiac compression syndrome . Am J Surg
115 :97 -102 , 1968 .
7.
Stanley JC
,
Fry WJ
: Median arcuate ligament syndrome . Arch Surg
103 :252 -258 , 1971 .
8.
Watson C.
,
Sadikali F.
: Celiac axis compression: Experience with 20 patients and a critical appraisal of the syndrome . Ann Int Med
86 :278 -284 , 1977 .
9.
Lawson JD
,
Ochsner JL
: Median arcuate ligament syndrome with severe two-vessel involvement . Arch Surg
119 :226 -227 , 1984 .
10.
Levin DC
,
Baltaxe HA
: High incidence of celiac axis narrowing in asymptomatic individuals . Am J Roentgenol Rad Ther Nucl Med
116 :426 -429 , 1972 .
11.
Appleby LH
: The celiac axis in the expansion of the operation for gastric carcinoma . Cancer
6 :704 -707 , 1953 .
12.
Reilly LM
, et al: Late results following operative repair for celiac artery compression syndrome . J Vasc Surg
2 :79 -90 , 1985 .
13.
Bergan JJ
, et al: Intestinal ischemic syndromes . Ann Surg
169 :120 -126 , 1969 .
14.
Carey JP
,
Stemmer EA
,
Connolly JE
: Median arcuate ligament syndrome . Arch Surg
99 :441 -446 , 1969 .
15.
Drapanas T.
,
Bron KM
: Editorial: Stenosis of the celiac artery . Ann Surg
164 :1085 -1088 , 1966 .
16.
Szilagyi DE
, et al: The celic artery compression syndrome: Does it exist . Surgery
72 :849 -863 , 1972 .
17.
Evans WE
: Long-term evaluation of the celiac band syndrome . Surgery
76 :867 -871 , 1974 .
18.
Rogers DM
,
Thompson JE
,
Garrett WV
, et al: Mesenteric vascular problems . Ann Surg
195 :554 -565 , 1982 .
19.
Lord Rsa
,
Tracy GD
: Coeliac artery compression . Br J Surg
67 :590 -593 , 1980 .