Truncus coeliacus compression syndrome (TCK) is a rare condition which causes mesenteric ischaemia. The pathogenesis is compression of truncus coeliacus, where it branches off the aorta, commonly because of an anatomical variant of the median arcuate ligament. The syndrome is characterized by the clinical triad: postprandial abdominal pain, weight loss and vomiting. An atypical clinical case of TCK is described here. A 67-year-old woman had postprandial pain and pain while supine. However, she did not suffer a worsening of the pain while she was physically active.
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