Anatomically, the appearance in this study is consistent with celiac artery compression by medial arcuate ligament due to its high origin. However, the abnormality was detected incidentally, while investigating calcifications observed on xray. Patient did not have any specific symptoms of "upper abdominal angina", apparently due to excellent collaterals between superior mesenteric and coelaic axis circulation via pancreaticoduodenal collaterals. However, this high volume collateral flow has resulted results in atherosclerotic disease of the pancreaticuduodenal arteries, which is disproportionate to the atheroslerotic disease in aorta and its other branches, and an aneurysm of the inferior pancreaticoduodenal artery, which is otherwise an uncommon location of such aneurysms.

The symptoms in this patient did not warrant a surgical treatment, but the patient was referred to a vascular surgeon regarding his aneurysm.