Celiac artery compression syndrome (CACS) is an uncommon and poorly understood condition. Compression of the celiac artery by the median arcuate ligament causes intractable postprandial abdominal pain, weight loss, vomiting, and nausea. We present a case of a 68-year-old male who suffered recurrent severe episodes of postprandial abdominal pain associated with occasional nausea, vomiting, and elevated blood pressure. The diagnostic workup was significant for celiac artery compression on computed tomography angiography. Diagnosis of CACS was made after the exclusion of the other possible pathologies, and the patient was referred to the surgical team for further management for median arcuate ligament release on an elective basis.
Decompensated liver cirrhosis (DLC) is sometimes associated with the development of esophageal varices (EV) and gastric varices (GV). GV is less common than EV. One of the treatment methods for GV is the injection of glue into the varices, which can be complicated by the embolism of the glue into the pulmonary vessels called glue pulmonary embolism (GPE). Non-glue pulmonary embolism (NGPE) after treatment of gastric varices is not very commonly reported in the literature. Herein, we present a case of the development of non-GPE after the treatment of the GV with glue injection and coiling.
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