Celiac artery compression syndrome: unusual cause of chronic abdominal pain

Celiac artery compression syndrome is characterised by abdominal pain, usually related to the ingestion of food coexisting with arteriographic evidence of extrinsic compression of the celiac artery by the median arcuate ligament of the diaphragm. It is usually associated with weight loss and often with an epigastric bruit. Presentation of the case: a 58 year old woman was referred because of epigastric pain, starting four months before. The pain, characterised as often debilitating was not strictly related to meals. She lost 5kg of weight. Upper endoscope revealed an H.p. associated gastritis, but neither eradic…