title: [Celiac artery compression syndrome--stepchild of abdominal angina?].
abstract: BACKGROUND
  Celiac trunk compression in few percentages of the cases can cause chronic abdominal pain that shows no connection with eating.
  
  
  METHODS
  Detailed preoperative examinations showed significant, segmental stenosis of the celiac trunk, caused by outer compression of a tendonous arc of diaphragm, in the background of abdominal pain and mesenteric ischemia of a 58-year-old woman. After preparation we have executed the surgery by removing a tight ring, located at around 8-10 mm from the origin of trifurcation, and a part of the celiac ganglion. The patient was dismissed from our hospital 6 days after surgery in good general condition.
  
  
  CONCLUSIONS
  The abdominal pain can normally be the consequence of mesenteric ischemia. The root cause in most of the cases is the alteration of the particular artery. The outer compression is normally responsible only for a few percentages of the cases. In our case the problem was caused by a stronger tendonous part of the aortic hiatus. The first sign of this during the examination was a recognisable noise over the artery, which was caused by the poststenotic turbulent flow. Detailed radiological examinations executed based on this indeed proved this malfunction.
  
  
  CONCLUSIONS
  In case of unidentified abdominal pain we have to consider the possibility of the stenosis of the celiac trunk. By our case study we would like to call the attention to the importance of the auscultation over the abdomen, which is a relevant part of the basic physical examinations. When getting to the final diagnosis, apart from the duplex doppler sonography, we also used the results of angiography. The essence of the surgery was to get rid of the outer compression of the artery, which has to be done as soon as possible in order to avoid that compression causes degeneration of the artery itself.
authors.affiliation: Fejér Megyei Szent György Kórház, Altalános Sebészeti Osztály, Székesfehérvár.
authors.forename: Mihály
authors.initials: M
authors.lastname: Mucs
authors.forename: Iván
authors.initials: I
authors.lastname: Székely
authors.forename: Iván
authors.initials: I
authors.lastname: Illés
authors.forename: Arpád
authors.initials: A
authors.lastname: Juhász
authors.forename: Balázs
authors.initials: B
authors.lastname: Paál
authors.forename: Agnes
authors.initials: A
authors.lastname: Sárkány
authors.forename: László
authors.initials: L
authors.lastname: Madácsy
authors.forename: Aron
authors.initials: A
authors.lastname: Altorjay
mesh_terms: D015746:Abdominal Pain / Q000209:etiology*; D000792:Angiography; D002445:Celiac Artery / Q000473:pathology*; D005260:Female; D006801:Humans; D007511:Ischemia / Q000150:complications* / Q000209:etiology; D008641:Mesenteric Vascular Occlusion / Q000150:complications* / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000601:surgery; D008643:Mesentery / Q000098:blood supply*; D008875:Middle Aged; D018608:Ultrasonography, Doppler