A Case of Intractable Vomiting: Was It the Celiac Artery Compression?
Grand Strand Medical Center
celiac artery compression syndrome, chronic cholecystitis, celiac axis syndrome, dunbar syndrome, celiac artery compression, medial arcuate ligament, intractable vomiting
Cardiovascular Diseases | Digestive System Diseases | Internal Medicine | Surgery
Celiac artery compression syndrome is a rare and poorly understood condition. Compression of the celiac artery by the median arcuate ligament causes intractable nausea, vomiting, and postprandial pain. We present a case of a 55-year-old male with a 50-pound unintentional weight loss and intractable vomiting, whose symptoms persisted despite robotic median arcuate ligament release. He later returned to the emergency department where he was found to have a low gallbladder ejection fraction on imaging indicative of biliary dyskinesia, for which he underwent a cholecystectomy. Eventually, his symptoms improved, and he was able to return to his baseline body weight.
Publisher or Conference
Abdelsayed N, Parza K, Faris M. A Case of Intractable Vomiting: Was It the Celiac Artery Compression?. Cureus. 2022;14(2):e22483. doi:10.7759/cureus.22483