Reoperative management of celiac trunk compression syndrome in a young adult patient

Celiac artery compression syndrome is a rare condition that causes chronic postprandial pain and weight loss, pathogenetically resulting from compression of the celiac trunk by the median arcuate ligament. This article presents a clinical case of an 18-year-old patient with recurrent symptoms following laparoscopic decompression and angioplasty, who was diagnosed with persistent stenosis of the celiac artery. A reoperation via an open approach was performed, involving complete decompression and splanchnic ganglionectomy. At the 4-year follow-up, sustained remission was observed: the pain syndrome was relieved, and no signs of restenosis were detected. When minimally invasive methods prove ineffective, open surgical treatment provides a reliable and long-term outcome.