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. 2020 Jul 16;8(11):2295-2297.
doi: 10.1002/ccr3.3118. eCollection 2020 Nov.

Superior mesenteric artery syndrome

Bipin Karki  1 , Bishika Pun  2 , Amit Shrestha  3 , Pramesh Sunder Shrestha  4
Affiliations

Superior mesenteric artery syndrome

Bipin Karki et al. Clin Case Rep. .

Abstract

Superior mesenteric artery (SMA) syndrome, though rare, should be considered in patients with duodenal obstruction with no other causes. History of recent weight loss and imaging modalities help in the diagnosis. Conservative management can be tried before going for surgery.

Keywords: Superior mesenteric artery syndrome; aorto‐mesenteric angle; aorto‐mesenteric distance; duodenal obstruction.

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Conflict of interest statement

None declared.

Figures

FIGURE 1
FIGURE 1
Barium meal showing distended stomach, first and second part of duodenum (*) with abrupt cutoff at third part of duodenum (red line)
FIGURE 2
FIGURE 2
Sagittal section of CECT abdomen showing a narrowed AO angle of 20°
FIGURE 3
FIGURE 3
Axial section of CECT abdomen showing a decreased AO distance of 2.9 mm
See this image and copyright information in PMC

References

    1. Unal B, Aktaş A, Kemal G, et al. Superior mesenteric artery syndrome: CT and ultrasonography findings. Diagn Interv Radiol. 2005;11(2):90‐95. - PubMed
    1. Mandarry M, Zhao L, Zhang C, et al. A comprehensive review of superior mesenteric artery syndrome. Eur Surg. 2010;42:229‐236.

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