Superior mesenteric artery syndrome: an uncommon cause of intestinal obstruction.

Abstract:

:Superior mesenteric artery (SMA) syndrome is an atypical cause of high intestinal obstruction, most frequently occurring in patients who have had rapid weight loss. Identification of this syndrome can be a diagnostic dilemma and is frequently made by exclusion. The most characteristic symptoms are postprandial epigastric pain, eructation, fullness, and voluminous vomiting. The symptoms are caused by compression of the third portion of the duodenum against the posterior structures by a narrow-angled SMA. When nonsurgical management is not possible or the problem is refractory, surgical intervention is necessary. We report a case of SMA syndrome in a patient without a history of rapid weight loss. The patient complained of early satiety, nausea, and vomiting of partially digested food worsening over 2 years. Diagnostic evaluation revealed compression of the third portion of the duodenum by the SMA with resultant proximal dilatation. The patient successfully had duodenojejunal anastomosis.

journal_name

South Med J

journal_title

Southern medical journal

authors

Baltazar U,Dunn J,Floresguerra C,Schmidt L,Browder W

subject

Has Abstract

pub_date

2000-06-01 00:00:00

pages

606-8

issue

6

eissn

0038-4348

issn

1541-8243

journal_volume

93

pub_type

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