A case of superior mesenteric artery syndrome got physicians in trouble

Author:

Badour Maysaa1ORCID,Mahmoud Gaber1,Hasan Ahmad2,Sulaiman Walaa1,Hammed Ali3

Affiliation:

1. Pediatric University Hospital, Division of Gastroenterology, Damascus, Syria

2. AL-Basel Hospital, Department of Pediatric Surgery, Tartus, Syria

3. Tishreen University Hospital, Department of Neurosurgery, Lattakia, Syria

Abstract

Abstract Superior mesenteric artery (SMA) syndrome is a gastrovascular disorder in which the third and final portion of the duodenum is compressed between the abdominal aorta (AA) and the overlying SMA. Our case presents an 11-year-old female with chronic intermittent vomiting that started since she was 6 months old. Contrast enhanced computed tomography scan for abdomen and pelvis guided to the correct diagnosis and the patient received the adequate treatment. Awareness of a broad range of differential diagnosis of vomiting and a high degree of suspicion of SMA syndrome is fundamental in order to direct the proper diagnostic investigation. Duodenojejunostomy provides the best results in severe cases.

Publisher

Oxford University Press (OUP)

Subject

Surgery

Cited by 2 articles. 订阅此论文施引文献 订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献

1. Superior mesenteric artery syndrome in an 8-year-old boy: a case report;Journal of Medical Case Reports;2023-08-12

2. Diagnostic Pitfalls in Patients with Aortomesenteric Duodenal Compression;Journal of radiology and nuclear medicine;2022-07-08

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