Publication: Superior Mesenteric Artery Syndrome: Diagnosis and Management
Date
2016
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
Kathmandu University
Abstract
ABSTRACT
Superior mesenteric artery syndrome is a life-threatening rare acquired upper
gastrointestinal disorder due to mechanical compression of third part of duodenum
by the acute angulation of Superior mesenteric artery, leading to obstruction. Acute
loss of intervening mesenteric fat as a result of a variety of debilitating conditions
is believed to be the etiologic factor causing the reduced aortomesenteric angle.
Abdominal CT angiography showed the dilatation of second part of duodenum
and vascular compression of the proximal third part of the duodenum between
the aorta and superior mesenteric artery. We report a case of 15 year old young
boy who presented with recurrent postprandial pain in the epigastric region,
accompanied by epigastric fullness, nausea, postprandial bilious vomiting and
weight loss. When conservative measures were ineffective, laparoscopic retrocolic
duodenojejunostomy, side to side anastomosis, was performed in the patient to
relieve the obstruction. This case report is unusual as it is concerned with the
description of a rare disease entity and its radiological appearances for early
preoperative diagnosis, better understanding and management of the disease are
discussed in the pertinent light of literature.
KEY WORDS
CT angiography, duodenal obstruction, duodenojejunostomy, superior mesenteric
artery syndrome
Description
Kumar R,1 Jaiswal G,1 Bhargava A,1 Kundu J2
1Department of Radiodiagnosis
Geetanjali Medical College and Hospital
2Department of Prosthodontics
Geetanjali Dental and Research Institute
Geetanjali University, Udaipur, India.
Keywords
CT angiography, duodenal obstruction, duodenojejunostomy, superior mesenteric artery syndrome