A case of superior mesenteric artery syndrome got physicians in trouble. Issue 1 (31st January 2021)

• Record Type: Journal Article
• Authors: Badour, Maysaa; Mahmoud, Gaber; Hasan, Ahmad; Sulaiman, Walaa; Hammed, Ali
• Is Part Of: Journal of surgical case reports. Volume 2021:Issue 1(2021)
• Publication Date: 2021-01-31
• Subjects: Surgery -- Periodicals; Surgery -- Case studies -- Periodicals; 617.005
• DOI: 10.1093/jscr/rjaa613
• Languages: English
• ISSNs: 2042-8812

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.