A Case of Intractable Vomiting: Was It the Celiac Artery Compression?

Division

South Atlantic

Hospital

Grand Strand Medical Center

Document Type

Case Report

Publication Date

2-22-2022

Keywords

celiac artery compression syndrome, chronic cholecystitis, celiac axis syndrome, dunbar syndrome, celiac artery compression, medial arcuate ligament, intractable vomiting

Disciplines

Cardiovascular Diseases | Digestive System Diseases | Internal Medicine | Surgery

Abstract

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

Cureus

Link to Full Text

Share

COinS