2008 Annual Meeting Abstracts

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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.

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