Superior mesenteric artery syndrome with superior mesenteric artery thrombosis: A case report

Authors

DOI:

https://doi.org/10.28982/josam.510947

Keywords:

Acute abdomen, Superior mesenteric artery syndrome, Superior mesenteric artery thrombosis, Wilkie's syndrome

Abstract

Superior mesenteric artery (SMA) syndrome is a rare syndrome with symptoms including nausea, vomiting and epigastric pain. SMA syndrome is also known as Wilkie’s syndrome, mesenteric root syndrome, chronic duodenal ileus syndrome. SMA syndrome is vascular compression of the third part of the duodenum between the SMA and the aorta. In this article, we will present an adult patient with SMA syndrome who was admitted to the emergency service with abdominal pain and associated thrombosis of her superior mesenteric artery, demonstrated by computed tomography. Since SMA syndrome is rare and symptoms are not frequent, some diagnostic difficulties might happen and this will lead unnecessary long-term symptomatic treatments for the patient. In such patients, mesenteric artery thrombosis should be considered in differential diagnosis of abdominal pain.

Downloads

Download data is not yet available.

References

Gustafsson L, Falk A, Lukes PJ, Gamklou R. Diagnosis and treatment of superior mesenteric artery syndrome. Br J Surg. 1984 Jul;71(7):499-501.

Arthurs OJ, Mehta U, Set PA. Nutcracker and SMA syndromes: What is the normal SMA angle in children? Eur J Radiol. 2012 Aug;81(8):e854-61. doi: 10.1016/j.ejrad.2012.04.010

Welsch T, Büchler MW, Kienle P. Recalling superior mesenteric artery syndrome. Dig Surg. 2007;24(3):149-56.

Goin LS, Wilk SP. Intermittent arteriomesenteric occlusion of the duodenum. Radiology. 1956 Nov;67(5):729-37.

Lee TH, Lee JS, Jo Y, Park KS, Cheon JH, Kim YS, et al. Superior mesenteric artery syndrome: where do we stand today? J Gastrointest Surg. 2012 Dec;16(12):2203-11. doi: 10.1007/s11605-012-2049-5.

Shetty AK, Schmidt-Sommerfeld E, Haymon ML, Udall JN Jr. Radiological case of the month. Superior mesenteric artery syndrome. Arch Pediatr Adolesc Med. 1999 Mar;153(3):303-4.

Merrett ND, Wilson RB, Cosman P, Biankin AV. Superior mesenteric artery syndrome: diagnosis and treatment strategies. J Gastrointest Surg. 2009 Feb;13(2):287-92. doi: 10.1007/s11605-008-0695-4.

Shin MS, Kim JY. Optimal duration of medical treatment in superior mesenteric artery syndrome in children. J Korean Med Sci. 2013 Aug;28(8):1220-5. doi: 10.3346/jkms.2013.28.8.1220.

Richardson WS, Surowiec WJ. Laparoscopic repair of superior mesenteric artery syndrome. Am J Surg. 2001 Apr;181(4):377-8.

Baltazar U, Dunn J, Floresguerra C, Schmidt L, Browder W. Superior mesenteric artery syndrome: an uncommon cause of intestinal obstruction. South Med J. 2000 Jun;93(6):606-8.

Downloads

Published

2019-04-28

Issue

Section

Case Report

How to Cite

1.
Seçkin E. Superior mesenteric artery syndrome with superior mesenteric artery thrombosis: A case report. J Surg Med [Internet]. 2019 Apr. 28 [cited 2022 Jun. 30];3(4):330-2. Available from: https://jsurgmed.com/article/view/510947