2008 Annual Meeting Abstracts
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Laparoscopic Celiac Artery Decompression
Khashayar Vaziri*, Edward Auyang, Nathaniel J. Soper, Eric S. Hungness
Surgery, Northwestern University Feinberg School of Medicine, Chicago, IL
Compression of the celiac artery by the diaphragmatic crura, the median arcuate ligament or fibrous periaortic ganglionic tissue results in a rare constellation of symptoms known as celiac artery compression syndrome (CACS). First described in 1963 by Harjola in a patient with symptoms of mesenteric ischemia, it remains an elusive diagnosis. External compression of the celiac artery leads to a wide variety of symptoms frequently resulting in multiple diagnostic tests. A firm diagnosis is difficult to establish, and treatment is equally challenging. We describe a laparoscopic approach to decompression of the celiac artery facilitated by intraoperative ultrasound.
