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Case Reports
. 2023 Jun 20;15(6):e40704.
doi: 10.7759/cureus.40704. eCollection 2023 Jun.

Unveiling the Uncommon: Superior Mesenteric Artery Syndrome Presenting As Gastritis

Noman Salih  1 , Khalid S Baig  1 , Izhar Ullah  1 , Numan Ghani  2 , Yamna Ali  1 , Shahid Ali  3 , Shehzad A Khan  2 , Muhammad Ihtisham  4
Affiliations
Case Reports

Unveiling the Uncommon: Superior Mesenteric Artery Syndrome Presenting As Gastritis

Noman Salih et al. Cureus. .

Abstract

Superior mesenteric artery syndrome (SMAS) is a specific type of duodenal obstruction marked by a blockage of the inferior part of the duodenum as a result of compression between the superior mesenteric artery (SMA) and the aorta. Depletion of the mesenteric fatty pad causes this complication. In the current study, we describe a case of SMAS involving a 36-year-old lady who presented with postprandial pain, weight loss, and hematemesis. The patient was investigated for chronic pancreatitis, celiac disease, and intestinal tuberculosis due to a vague presentation, which yielded normal results. Subsequently, esophagogastroduodenostomy (EGD) was performed during a follow-up visit, which revealed erosive gastritis and antral inflammation. The patient was eventually given the go-ahead for a CT scan which led to the diagnosis of SMAS leading to erosive gastritis and distal duodenal obstruction.

Keywords: esophago-gastro-duodenoscopy; gastritis; hematemesis; superior mesenteric artery syndrome; tuberculosis.

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Conflict of interest statement

The authors have declared that no competing interests exist.

Figures

Figure 1
Figure 1. Opacification till the first part of the duodenum with no spillage of dye distally(green arrow)
Figure 2
Figure 2. Part of the duodenum compressed between SMA (red arrow) and aorta (green arrow)
See this image and copyright information in PMC

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