Celiac artery compression syndrome: a radiological finding without clinical symptoms?

The aim of the paper is to determine the incidence of celiac artery compression (CAC) based on computed tomography (CT) scan and correlate the findings to the clinical presentation of patients presenting for CT scan in a hospital. Abdominal CT scans of patients were reviewed between September 2010 and November 2010. CAC was diagnosed if the celiac axis appeared to have a hook or U-shaped appearance with stenosis. The medical records of the patients were reviewed for gastrointestinal symptoms (abdominal pain, nausea, vomiting, constipation, diarrhea), as well as food fear and weight loss. Patients with CAC had lower incidence of symptoms compared with those without CAC (42.1 versus 65.3%, P = 0.042). A total of 450 patients were evaluated. In the end, 284 had both complete medical records and CT scans. The mean age for all patients was 51.3 ± 1.2 years. There were 124 men (42.6%) and 160 (57.4%) women. Nineteen (6.7%) patients had radiological evidence of CAC. CAC is not an uncommon CT finding in patients presenting for CT scan.

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Spontaneous retroperitoneal bleeding secondary to celiac artery compression syndrome

Clinical Case Reports ◽

10.1002/ccr3.4158 ◽

2021 ◽

Author(s):

Kazuya Nagasaki ◽

Hiroyuki Ariga ◽

Toshiyuki Irie ◽

Junya Kashimura ◽

Hiroyuki Kobayashi

Keyword(s):

Celiac Artery ◽

Celiac Artery Compression Syndrome ◽

Retroperitoneal Bleeding ◽

Compression Syndrome ◽

Celiac Artery Compression

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Radiographic assessment of snap-shunt failure

Journal of Neurosurgery Pediatrics ◽

10.3171/2010.6.peds10107 ◽

2010 ◽

Vol 6 (3) ◽

pp. 299-302 ◽

Cited By ~ 2

Author(s):

Anand I. Rughani ◽

Bruce I. Tranmer ◽

Jeffrey E. Florman ◽

James T. Wilson

Keyword(s):

Normal Values ◽

Clinical Symptoms ◽

Type System ◽

Shunt Malfunction ◽

Ct Scans ◽

Shunt Revision ◽

Ventricular Catheter ◽

Shunt Failure ◽

Shunt System ◽

Ct Finding

Accurate assessment of imaging studies in patients with ventriculoperitoneal shunts can be aided by empirical findings. The authors characterize an objective measurement easily performed on head CT scans with the goal of producing clear evidence of shunt fracture or disconnection in patients with a snap shunt–type system. The authors describe 2 cases of ventriculoperitoneal shunt failure involving a fracture and a disconnection associated with a snap-shunt assembly. In both cases the initial clinical symptoms were not convincing for shunt malfunction, and the interpretation of the CT finding failed to immediately identify the abnormality. As the clinical picture became more convincing for shunt malfunction, each patient subsequently underwent successful shunt revision. The authors reviewed the CT scans of 10 patients with an intact and functioning snap-shunt system to characterize the normal appearance of the snap-shunt connection. On CT scans the distance between the radiopaque portion of the ventricular catheter and the radiopaque portion of the reservoir dome measures an average of 4.72 mm (range 4.6–4.9 mm, 95% CI 4.63–4.81 mm). In the authors' patient with a fractured ventricular catheter, this interval measured 7.8 mm, and in the patient with a disconnection it measured 7.7 mm. In comparison with the range of normal values, a radiolucent interval significantly greater than 4.9 mm should promptly raise concern for a disconnected or fractured shunt in this system. This measurement may prove particularly useful when serial imaging is not readily available.

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Celiac artery compression syndrome (CACS) as a cause of abdominal bruit

QJM ◽

10.1093/qjmed/hcy045 ◽

2018 ◽

Vol 111 (6) ◽

pp. 407-408

Author(s):

T Watari ◽

S Nonomura ◽

Y Takinami

Keyword(s):

Celiac Artery ◽

Celiac Artery Compression Syndrome ◽

Compression Syndrome ◽

Abdominal Bruit ◽

Celiac Artery Compression

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Real-time ultrasound: Key factor in identifying celiac artery compression syndrome

Indian Journal of Radiology and Imaging ◽

10.4103/0971-3026.155882 ◽

2015 ◽

Vol 25 (2) ◽

pp. 202 ◽

Cited By ~ 3

Author(s):

RainaAnil Tembey ◽

AneetaS Bajaj ◽

PrasadK Wagle ◽

AbdulSamad Ansari

Keyword(s):

Real Time ◽

Celiac Artery ◽

Celiac Artery Compression Syndrome ◽

Compression Syndrome ◽

Key Factor ◽

Celiac Artery Compression

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Use of CT Scans for Abdominal Pain in the ED: Factors in Choice

The American Surgeon ◽

10.1177/000313482008600428 ◽

2020 ◽

Vol 86 (4) ◽

pp. 324-333 ◽

Cited By ~ 1

Author(s):

Aubrey A. Mwinyogle ◽

Astha Bhatt ◽

Onyebuchi U. Ogbuagu ◽

Neer Dhillon ◽

Anne Sill ◽

...

Keyword(s):

Abdominal Pain ◽

Ct Scan ◽

Primary Diagnosis ◽

Socioeconomic Disparities ◽

Ct Scans ◽

Utilization Rate ◽

Rebound Tenderness ◽

High Index Of Suspicion ◽

Ct Finding

Overutilization of healthcare resources is a threat to long-term healthcare sustainability and patient outcomes. CTis a costly but efficient means of assessing abdominal pain; however, 97 per cent of ED physicians acknowledge its overutilization. This study sought to understand factors that influence ED providers’ decision regarding CT use in the evaluation of abdominal pain. After evaluating a patient for acute abdominal pain, ED providers filled in a form in which the primary diagnosis and index of suspicion were recorded. Bivariate and multivariate analyses were used to identify predictors of outcomes. The CT scan utilization rate was 54.82 per cent. Whereas 34.11 per cent of CT scans were normal, 30 per cent yielded an acute abdominal pathology. Tenderness and rebound tenderness were positive predictors of high index of suspicion [odds ratio (OR) 2.09 and 2.54, respectively]. These variables were also predictive of obtaining a CT scan [OR 2.64 and 3.41, respectively]. Compared with whites, the index of suspicion was 26 per cent and 56 per cent less likely to be high when patients were black [OR 0.73] or Hispanic [OR 0.44] respectively. Blacks and Hispanics were less likely to have CT scans performed than whites [OR 0.58 and 0.48, respectively]. Leukocytosis significantly affected the index of suspicion for acute abdominal pathology, obtaining a CTscan and the acuity of CTscan diagnosis on multivariate analysis. Patients aged ≥60 years had 2.03 odds of acute CT finding compared with those aged <60 years. There is a need for committed efforts to optimize CT scan utilization and eliminate socioeconomic disparities in health care.

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