Abdominal Pain Associated With Celiac Artery Compression and Superior Mesenteric Artery (SMA) Syndrome: A Case Report.

Celiac artery compression syndrome (CACS) is an elusive cause of postprandial abdominal pain, commonly mistaken for conditions such as gall bladder disease. A 36-year-old male presented with postprandial abdominal pain. Imaging studies revealed compression of the celiac artery by the median arcuate ligament and an incidentally detected narrow aortomesenteric angle, indicating superior mesenteric artery (SMA) syndrome. The patient underwent laparoscopic release of the median arcuate ligament followed by celiac artery stenting to alleviate symptoms associated with CACS. This case highlights the coexistence of CACS and SMA syndrome in a single patient. In this case, the treatment was focused on addressing the symptoms of CACS, as the SMA syndrome did not significantly impact the patient's well-being. Thus, attention should be given to vascular phenomena when evaluating abdominal pain.