Case Report
Volume 7 Issue 11 - 2020
Celiac Artery Compression Syndrome
Ramy Ibrahim1*, Mazen M Salama2, Jose Ruben Hermann3, Samarise Whyms3, Assad Rabah3 and Aghapy Kirolos4
1Medical Director, Premier Medical Associates, The Villages, Florida, USA
2Director of informatics and innovations MD MSc CPDS, Premier Medical Associates, The Villages, Florida, USA
3Clinical Care Coordinator Premier Medical Associates, The Villages, Florida, USA
4Research Assistant for Premier Medical Associates, The Villages, Florida, USA
*Corresponding Author: Ramy Ibrahim, Medical Director, Premier Medical Associates, The Villages, Florida, USA.
Received: October 13, 2020; Published: November 07, 2020


Celiac artery compression syndrome, Dunbar syndrome, or median arcuate ligament syndrome. They are different names for one syndrome. It is a rare syndrome that can present with recurrent abdominal pain. The condition results from the compression of the celiac artery by the median arcuate ligament which is a fibrous band of the diaphragm [1]. The etiology of celiac artery compression syndrome is still not very clear. Not every patient with this anatomic compression develops symptoms.

Keywords: Celiac Artery; Median Arcuate Ligament; Mesenteric Ischemia


  1. Zambrano-Lara M., et al. “Median arcuate ligament syndrome as a rare cause of chronic abdominal pain”. Revista de Gastroenterología de México (2020): 14.
  2. Matsuura H., et al. “Intermittent Severe Epigastric Pain and Abdominal Bruit Varying With Respiration”. Gastroenterology4 (2020): e11-e12.
  3. Römer C., et al. “Assessment of celiac artery compression using color-coded duplex sonography”. Clinical Hemorheology and Microcirculation (2020).
  4. Acosta S. “Epidemiology of mesenteric vascular disease: clinical implications”. Seminar Vascular Surgery 23 (2010): 4.
  5. van Dijk LJ., et al. “Clinical management of chronic mesenteric ischemia”. United European Gastroenterol Journal2 (2019): 179-188.
  6. Rubinkiewicz M., et al. “Laparoscopic decompression as treatment for median arcuate ligament syndrome”. Annals of the Royal College of Surgeons of England 6 (2015): e96-99.
  7. Gozzo C., et al. “CT imaging findings of abdominopelvic vascular compression syndromes: what the radiologist needs to know”. Insights Imaging1 (2020): 48.
  8. Elwertowski M and Lechowicz R. “Standards of the Polish Ultrasound Society - update. Ultrasound examination of the visceral arteries”. Journal of Ultrasonography 60 (2015): 85-95.
  9. Bacalbasa N., et al. “Celiac Trunk Stenosis Treated by Resection and Splenic Patch Reconstruction - A Case Report and Literature Review”. In Vivo3 (2018): 699-702.
  10. Sun Z., et al. “Laparoscopic treatment of median arcuate ligament syndrome”. Intractable and Rare Diseases Research 2 (2019): 108-112.
  11. Jimenez JC., et al. “Open and laparoscopic treatment of median arcuate ligament syndrome”. Journal of Vascular Surgery3 (2012): 869-873.
  12. M Rubinkiewicz., et al. “Laparoscopic decompression as treatment for median arcuate ligament syndrome”. Annals of the Royal College of Surgeons of England 6 (2015): E96-e99.
  13. Harjola PT. "A rare obstruction of the coeliac artery. Report of a case". Annales Chirurgiae et Gynaecologiae Fenniae 52 (1963): 547-550.
  14. Dunbar JD., et al. “Compression of the celiac trunk and abdominal angina". American Journal of Roentgenology Radium Therapy and Nuclear Medicine 3 (1965): 731-744.
  15. Duran M., et al. “Open vascular treatment of median arcuate ligament syndrome”. BMC Surgery 17 (2017): 95.
  16. Duffy AJ., et al. “Management of median arcuate ligament syndrome: a new paradigm”. Annals of Vascular Surgery 6 (2009): 778-784.
  17. Rubinkiewicz M., et al. “Laparoscopic decompression as treatment for median arcuate ligament syndrome”. Annals of the Royal College of Surgeons of England 97 (2015): 96-99.
  18. Duncan AA. "Median arcuate ligament syndrome". Current Treatment Options in Cardiovascular Medicine 2 (2008): 112-116.
  19. Lainez RA and Richardson WS. “Median arcuate ligament syndrome: a case report”. Ochsner Journal 13 (2013): 561-564.
  20. Juan Carlos Jimenez., et al. “Open and laparoscopic treatment of median arcuate ligament syndrome”. (2012).
  21. Manghat NE., et al. “The median arcuate ligament syndrome revisited by CT angiography and the use of ECG gating—a single-center case series and literature review". British Journal of Radiology969 (2008): 735-742.
  22. P T Harjola. “Buffer capacity and acid-base balance of blood effects of blood loss and some infusion fluids on rabbit blood”. Annales chirurgiae et gynaecologiae Fenniae. Supplementum, Helsinki (1960): 95.
  23. P T Harjola. “A rare obstruction of the coeliac artery”. Annales chirurgiae et gynaecologiae Fenniae 52 (1963): 547-549.
  24. J D Dunbar., et al. “Compression of the celiac trunk and abdominal angina”. American Journal of Roentgenology 95 (1965): 731-743.
  25. S A Marable., et al. “Abdominal pain secondary to celiac axis compression”. The American Journal of Surgery, New York, April 111.4 (1966): 493-495.
  26. S A Marable., et al. “Celiac compression syndrome”. American Journal of Surgery 115 (1968): 97-102.
Citation: Ramy Ibrahim., et al. “Celiac Artery Compression Syndrome”. EC Cardiology 7.12 (2020): 07-12.

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