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[Rare case of chronic mesenteric ischemia after occlusion of the celiac trunk in a 15-year old boy].

BACKGROUND
Chronic mesenteric ischemia is extremely uncommon in childhood. Occlusion of the celiac axis by the median arcuate ligament (celiac axis compression syndrome) has been only described as a disorder of younger adults yet.


CASE REPORT
We present a 15-year-old boy with a 18-month history of chronic intermittent upper abdominal pain. A chronic mesenteric ischemia due to compression of the celiac axis by the median arcuate ligament was recognized as cause of the complaints. Revascularisation by an autologous vein bypass from the abdominal aorta to the common hepatic artery led to restitution.


CONCLUSIONS
Even in childhood intermittent abdominal pain may be generated by chronic mesenteric ischemia.