ARTHUR J. SIEGEL, M.D.; JOHN MANNICK, M.D.
SIEGEL AJ, MANNICK J. Celiac Artery Stenosis. Ann Intern Med. 1977;86:825-826. doi: 10.7326/0003-4819-86-6-825_2
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Published: Ann Intern Med. 1977;86(6):825-826.
To the editor: Controversy over celiac artery stenosis as a clinical entity was revitalized by the point-counterpoint communications of Watson and Sadikali (1) and Sleisenger (2) in a recent issue. The elusiveness of this diagnosis was emphasized for us by a recent case in which the clinical and angiographic criteria for celiac axis compression were satisfied, but the pathologic findings at laparotomy were consistent with mesenteric lipodystrophy. A pathogenetic relation between these two findings is proposed.
A 50-year-old white woman presented with a 2-year history of progressive but nonspecific abdominal pain, often exacerbated after meals and associated with a 9.1-kg
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