A case of Celiac Artery Compression Syndrome in which gastro-duodenal motility was seguentially assessed over the follow-up period *
We reported a case of a woman in her 40's with celiac artery compression syndrome (CACS). She presented a dull pain and fullness in the upper part of her abdomen during and soon after eating. Blood and urine examinations revealed no obvious abnormalities,and upper gastrointestinal endoscopy indicated no obvious causes for the symptom. After a routine abdominal ultrasound (US), measurement of celiac artery blood flow showed high blood-flow velocity, which met the US diagnostic criteria for CACS. The evidence of CACS was supported by contrast-enhanced computed tomography, showing an obvious narrowing of the celiac artery in the expiration phase. Since she did not accept surgical therapy, treatment using oral medicine continued for about 2 years and six months. Meanwhile, the US examination for evaluating gastro-duodenal motility was performed 4 times. This is the first report that showing long-term progress of the symptoms and gastro-duodenal motility in this CACS patient. (Accepted on August 30, 2013)
