RT Book, Section A1 Habib, Joseph A1 Satiani, Bhagwan A2 Dean, Steven M. A2 Satiani, Bhagwan A2 Abraham, William T. SR Print(0) ID 1105291025 T1 CELIAC AXIS COMPRESSION SYNDROME T2 Color Atlas and Synopsis of Vascular Diseases YR 2015 FD 2015 PB McGraw-Hill Medical PP New York, NY SN 9780071749541 LK accesscardiology.mhmedical.com/content.aspx?aid=1105291025 RD 2024/04/19 AB A 22-year-old Caucasian woman presented to the vascular clinic with intense postprandial abdominal pain that occurred 20 to 30 minutes after eating. She also relayed a history of food fear along with occasional nausea and vomiting. She had experienced about a 25-lb weight loss over the last 6 months. Her past medical history was not significant for any chronic illnesses or conditions including absence of a psychiatric or drug abuse history. She stated that she had undergone an extensive gastrointestinal workup including upper and lower endoscopy and a right upper quadrant ultrasound, but no diagnosis had been established. On examination the patient appeared thin, in no acute distress. Her abdomen was soft, nontender, nondistended. On auscultation, an epigastric bruit that increased with expiration was found. A computed tomographic angiogram (CTA) was obtained that demonstrated extrinsic compression of the celiac axis by the median arcuate ligament of the diaphragm and poststenotic dilatation of the celiac artery (Figure 46-1).