scholarly journals Superior Mesenteric Artery Syndrome: A Case Report of Two Surgical Options, Duodenal Derotation and Duodenojejunostomy

2016 ◽  
Vol 2016 ◽  
pp. 1-5 ◽  
Author(s):  
Yagan Pillay
Keyword(s):  
Case Report ◽  
Superior Mesenteric Artery ◽  
Surgical Management ◽  
Mesenteric Artery ◽  
Duodenal Obstruction ◽  
Standard Of Care ◽  
Fat Pad ◽  
The Third ◽  
Surgical Options ◽  
Nasojejunal Feeding

Superior mesenteric artery (SMA) syndrome is a rare cause of duodenal obstruction and its management is usually conservative with nasojejunal feeding. The pathophysiology entails the loss of the fat pad between the superior mesenteric artery and the abdominal aorta. This reduces the angle between the two vessels to less than 20 degrees with the resultant compression of the third part of the duodenum. The surgical management is usually a laparoscopic duodenojejunostomy. The two cases in our series had two different surgical procedures with good outcomes in both patients. The surgical management of each patient should be determined on its own merits irrespective of the standard of care.

A CASE REPORT : A CASE OF SUPERIOR MESENTERIC ARTERY SYNDROME

2021 ◽  
pp. 7-7
Author(s):  
Madhav Santoki ◽  
Alpesh Amin
Keyword(s):  
Case Report ◽  
Superior Mesenteric Artery ◽  
Mesenteric Artery ◽  
Duodenal Obstruction ◽  
Superior Mesenteric Artery Syndrome ◽  
Clinical Entity ◽  
The Third ◽  
Sma Syndrome ◽  
Transverse Portion

Superior mesenteric artery (SMA) syndrome is an uncommon but well recognized clinical entity characterized by compression of the third, or transverse, portion of the duodenum between the aorta and the superior mesenteric artery. This results in chronic, intermittent, or acute complete or partial duodenal obstruction. Superior mesenteric artery syndrome was rst described in 1861 by Von Rokitansky, who proposed that its cause was obstruction of the third part of the duodenum as a result of arterio-mesenteric compression. Some studies report the incidence of superior mesenteric artery syndrome to be 0.1- 0.3%.

“Wilkie’s Syndrome: Case Report”

2021 ◽  
Vol 4 (4) ◽  
pp. 01-01
Author(s):  
Vladimir Schraibman ◽  
Marina Gabrielle Epstein ◽  
Gabriel Maccapani ◽  
Franco Milan Sapuppo ◽  
Marilia Fernandes
Keyword(s):  
Case Report ◽  
Superior Mesenteric Artery ◽  
Mesenteric Artery ◽  
Duodenal Obstruction ◽  
The Third ◽  
Wilkie’S Syndrome ◽  
Aortic Artery ◽  
Wilkie Syndrome

Superior Mesenteric Artery or Wilkie Syndrome is a rare cause of duodenal obstruction and results from compression of the third portion of the duodenum by the superior mesenteric artery and the aortic artery.

scholarly journals Vascular Compression of the Duodenum

1986 ◽  
Vol 79 (8) ◽  
pp. 465-467 ◽  
Author(s):  
R Moskovich ◽  
P Cheong-Leen
Keyword(s):  
Superior Mesenteric Artery ◽  
Mesenteric Artery ◽  
Duodenal Obstruction ◽  
Surgical Correction ◽  
Vascular Compression ◽  
The Third ◽  
Fourth Part ◽  
Anatomic Basis ◽  
Vascular Obstruction

Compression of the third or fourth part of the duodenum by the superior mesenteric artery or one of its branches is the anatomic basis for some cases of duodenal obstruction. Two cases of vascular obstruction of the duodenum after surgical correction of scoliosis are presented. The embryologic and pathoanatomic bases for this condition, and the rationale for treatment, are described.

scholarly journals Superior Mesenteric Artery Syndrome: A Case Report

2013 ◽  
Vol 2 (1) ◽  
pp. 73-76
Author(s):  
K Dhungel ◽  
S Ansari ◽  
K Ahmad ◽  
PL Sah ◽  
MK Gupta ◽  
...  
Keyword(s):  
Case Report ◽  
Diagnostic Imaging ◽  
Superior Mesenteric Artery ◽  
Mesenteric Artery ◽  
Rare Condition ◽  
Superior Mesenteric Artery Syndrome ◽  
Imaging Findings ◽  
Medical Sciences ◽  
Outflow Obstruction ◽  
The Third

Superior mesenteric artery syndrome (SMAS) is a rare condition caused by compression of the third portion of the duodenum between the superior mesenteric artery (SMA) and the aorta, causing symptoms of duodenal outflow obstruction. We report a case of SMAS in a young emaciated female with well-documented diagnostic imaging findings. Nepal Journal of Medical Sciences | Volume 02 | Number 01 | Jan-Jun 2013 | Page 73-76 DOI: http://dx.doi.org/10.3126/njms.v2i1.7657

Mycotic Superior Mesenteric Artery Aneurysm: Case Report and Literature Review

2018 ◽  
Vol 26 (2) ◽  
pp. 260-264 ◽  
Author(s):  
Xuedong Xu ◽  
Alicia L. Eubanks ◽  
Alan Wladis ◽  
Paula Veldhuis ◽  
Steve Eubanks
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Superior Mesenteric Artery ◽  
Mesenteric Artery ◽  
Mycotic Aneurysm ◽  
Artery Aneurysm ◽  
The Third ◽  
Splanchnic Artery Aneurysm ◽  
Splanchnic Artery

Superior mesenteric artery (SMA) aneurysm is the third most common splanchnic artery aneurysm. A 73-year-old woman presented with a minimally symptomatic SMA aneurysm, which was resected by laparoscopic surgical technique. The patient recovered quickly and remained well after 8 months of follow-up. This case report and literature review presents a rare mycotic aneurysm that developed in the SMA. Laparoscopic surgery can be a useful technique for the treatment of mycotic SMA aneurysms.

Polyarteritis Nodosa in Superior Mesenteric Artery: A Case Report

1998 ◽  
Vol 38 (3) ◽  
pp. 441
Author(s):  
Young Lan Seo ◽  
Chul Soon Choi ◽  
Ho Chul Kim ◽  
Sang Hoon Bae ◽  
Eil Seong Lee ◽  
...  
Keyword(s):  
Case Report ◽  
Superior Mesenteric Artery ◽  
Polyarteritis Nodosa ◽  
Mesenteric Artery

scholarly journals Superior mesenteric artery dissection with prolonged abdominal angina treated by laparotomy, endarterectomy, patch angioplasty, and retrograde open mesenteric stenting: a case report

2019 ◽  
Vol 5 (1) ◽  
Author(s):  
Shinichi Tanaka ◽  
Atsushi Fukuda ◽  
Eisuke Kawakubo ◽  
Takuya Matsumoto
Keyword(s):  
Case Report ◽  
Superior Mesenteric Artery ◽  
Mesenteric Artery ◽  
Artery Dissection ◽  
Surgical Revascularization ◽  
Invasive Treatment ◽  
Case Presentation ◽  
Abdominal Angina ◽  
Patch Angioplasty ◽  
Superior Mesenteric Artery Dissection

Abstract Background Most patients with isolated superior mesenteric artery (SMA) dissection are successfully managed conservatively. However, some patients require more invasive treatment. Case presentation We herein describe a 45-year-old man with isolated SMA dissection. He initially underwent conservative treatment. However, because of persistent abdominal angina, we considered the need for surgical revascularization. He was successfully treated by endarterectomy, patch angioplasty, and retrograde open mesenteric stenting. The abdominal angina was stabilized thereafter. Conclusions The combination of endarterectomy, patch angioplasty, and retrograde open mesenteric stenting is useful for isolated SMA dissection, and long patency can be expected for some patients.

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