scholarly journals Functional Superior Mesenteric Artery Syndrome Induced by an Optional IVC Filter

2019 ◽  
Vol 2019 ◽  
pp. 1-4
Author(s):  
Adam Shen ◽  
Dina Tabello ◽  
Nishant Merchant ◽  
Joseph V. Portereiko ◽  
Alfred Croteau ◽  
...  
Keyword(s):  
Superior Mesenteric Artery ◽  
Mesenteric Artery ◽  
Dwell Time ◽  
Motor Vehicle ◽  
Motor Vehicle Crash ◽  
Superior Mesenteric Artery Syndrome ◽  
Multiple Injuries ◽  
Ivc Filter ◽  
The Third ◽  
Vehicle Crash

This patient suffered multiple injuries in a motor vehicle crash. She had an optional IVC filter placed in the usual fashion and location which resulted in a functional obstruction of the third part of the duodenum much as one would expect with a Superior Mesenteric Artery (SMA) syndrome. The symptoms persisted over the sixteen-day filter dwell time and resolved completely with the retrieval of the filter.

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%.

Case review 1 conclusion: Motor vehicle crash with multiple injuries

2006 ◽  
Vol 25 (2) ◽  
pp. 54-57
Author(s):  
David W. Ross ◽  
Carol Wichman
Keyword(s):  
Motor Vehicle ◽  
Motor Vehicle Crash ◽  
Multiple Injuries ◽  
Case Review ◽  
Vehicle Crash

scholarly journals Superior mesenteric artery syndrome: a single centre experience of laparoscopic duodenojejunostomy as the operation of choice

2017 ◽  
Vol 99 (6) ◽  
pp. 472-475 ◽  
Author(s):  
GC Kirby ◽  
ER Faulconer ◽  
SJ Robinson ◽  
A Perry ◽  
R Downing
Keyword(s):  
Weight Loss ◽  
Superior Mesenteric Artery ◽  
Mesenteric Artery ◽  
Epigastric Pain ◽  
Superior Mesenteric Artery Syndrome ◽  
Team Approach ◽  
The Third ◽  
Wilkie’S Syndrome ◽  
Sma Syndrome ◽  
Open Gastrojejunostomy

INTRODUCTION The superior mesenteric artery (SMA) syndrome, or Wilkie’s syndrome, is a rare cause of postprandial epigastric pain, vomiting and weight loss caused by compression of the third part of the duodenum as it passes beneath the proximal superior mesenteric artery. The syndrome may be precipitated by sudden weight loss secondary to other pathologies, such as trauma, malignancy or eating disorders. Diagnosis is confirmed by angiography, which reveals a reduced aorto-SMA angle and distance, and contrast studies showing duodenal obstruction. Conservative management aims to increase intra-abdominal fat by dietary manipulation and thereby increase the angle between the SMA and aorta. Where surgery is indicated, division of the ligament of Treitz, anterior transposition of the third part of the duodenum and duodenojejunostomy have been described. METHODS We present four cases of SMA syndrome where the intention of treatment was laparoscopic duodenojejunostomy. The procedure was completed successfully in three patients, who recovered quickly with no short-term complications. A fourth patient underwent open gastrojejunostomy (complicated by an anastomotic bleed) when dense adhesions prevented duodenojejunostomy. CONCLUSIONS The superior mesenteric artery syndrome should be considered in patients with epigastric pain, prolonged vomiting and weight loss. Laparoscopic duodenojejunostomy is a safe and effective operation for management of the syndrome. A multi-speciality team approach including gastrointestinal, vascular and radiological specialists should be invoked in the management of these patients.

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

Motor vehicle crash with multiple injuries

2006 ◽  
Vol 25 (1) ◽  
pp. 8-9
Author(s):  
David W. Ross ◽  
Carol Wichman ◽  
Jon Webb
Keyword(s):  
Motor Vehicle ◽  
Motor Vehicle Crash ◽  
Multiple Injuries ◽  
Vehicle Crash

Anterior transposition of the third part of the duodenum for the treatment of superior mesenteric artery syndrome

2008 ◽  
Vol 43 (2) ◽  
pp. e1-e3 ◽  
Author(s):  
Satoko Shiyanagi ◽  
Kazuhiro Kaneyama ◽  
Tadaharu Okazaki ◽  
Geoffrey J. Lane ◽  
Atsuyuki Yamataka
Keyword(s):  
Superior Mesenteric Artery ◽  
Mesenteric Artery ◽  
Superior Mesenteric Artery Syndrome ◽  
The Third ◽  
Anterior Transposition

scholarly journals Superior Mesenteric Artery Syndrome Improved by Enteral Nutritional Therapy according to the Controlling Nutritional Status Score

2017 ◽  
Vol 11 (3) ◽  
pp. 729-735 ◽  
Author(s):  
Kazuhiro Takehara ◽  
Kazuhiro Sakamoto ◽  
Rina Takahashi ◽  
Masaya Kawai ◽  
Shingo Kawano ◽  
...  
Keyword(s):  
Nutritional Status ◽  
Superior Mesenteric Artery ◽  
Mesenteric Artery ◽  
Body Weight Gain ◽  
Nutritional Therapy ◽  
Right Hemicolectomy ◽  
Superior Mesenteric Artery Syndrome ◽  
Gastric Distension ◽  
The Third ◽  
Conut Score

Superior mesenteric artery syndrome (SMAS) is a relatively rare disease that involves bowel obstruction symptoms, such as vomiting and gastric distension, owing to the compression of the third portion of the duodenum from the front by the superior mesenteric artery (SMA) and from the rear by the abdominal aorta and the spine. SMAS is diagnosed on the basis of an upper gastrointestinal examination series indicating the obstruction of the third portion of the duodenum or a computed tomography scan indicating the narrowing of the branch angle between the aorta and the SMA (i.e., the aorta-SMA angle). Here, we report the case of a 78-year-old woman diagnosed with SMAS after a laparoscopic right hemicolectomy for cecal cancer, whose condition was improved by enteral nutritional therapy. We used her controlling nutritional status (CONUT) score as a nutrition assessment and noted the changes in the aorta-SMA angle over the course of the disease. This patient appeared to develop SMAS, on the basis of a worsened CONUT score and a decreased aorta-SMA angle, owing to the inflammation resulting from the intraoperative dissection of the tissues around the SMA and prolonged postoperative fasting. After the initiation of enteral nutritional therapy, the patient exhibited body weight gain and an improved aorta-SMA angle and CONUT score. Hence, assessment of the aorta-SMA angle and CONUT score is an important preoperative consideration.

scholarly journals Endoscopic features for early decision to evaluate superior mesenteric artery syndrome in children

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Jae Young Kim ◽  
Myung Seok Shin ◽  
Sunho Lee
Keyword(s):  
Superior Mesenteric Artery ◽  
Mesenteric Artery ◽  
Superior Mesenteric Artery Syndrome ◽  
Endoscopic Findings ◽  
The Third ◽  
Luminal Narrowing ◽  
Early Decision ◽  
Hypotonic Duodenography ◽  
Air Insufflation ◽  
Bile Lake

Abstract Background Diagnostic delay of superior mesenteric artery syndrome (SMAS) is common due to its rarity and lack of index of clinical suspicion. Early diagnosis under suspicion is pivotal for adequate treatment. Present study aims to explore the endoscopic features for early decision to evaluate SMAS in children. Methods In case controlled observation study, the recruitment was limited to patients who had endoscopic finding I or finding 1 plus more as follows: a pulsating vertical or oblique band or slit like luminal narrowing of the third part of the duodenum without no expansion over one third during air insufflation for at least 15 s (finding I), a marked dilation of the duodenal first and second part during air insufflation at the third part of the duodenum (finding II), a bile mixed fluid collection (bile lake) in the stomach (finding III). SMAS was confirmed with UGI series or hypotonic duodenography in enrolled patients. We analyzed positive endoscopic findings related with SMAS. Results The enrolled 29 patients consisted of 18 (62.1%) with SMAS and 11 (37.9%) without SMAS. The three most common presenting symptoms were abdominal pain, postprandial discomfort, and early satiety. The clinical impressions based on history and physical examination before endoscopy were functional dyspepsia (34.6%), gastritis or gastric ulcer (31.0%), and SMAS (17.3%). The constellation of three endoscopic findings (finding I + II + III, feature D) observed in 13 (72.2%) patients of SMAS group and 3 (27.3%) patients of non SMAS group (P = 0.027). Of 16 patients with features D, SMAS was diagnosed in 13 patients (81.2%) and not detected in 3 patients (18.8%) on UGI series or hypotonic duodenography. Conclusions Endoscopic examination to the third part of the duodenum can provide a clue making a decision to evaluate SMAS, which consists of features of three endoscopic findings as follows: a pulsating vertical or oblique band or slit like luminal narrowing of the third part of the duodenum without no expansion over one third during air insufflation for at least 15 s, a marked dilation of the first and second part of the duodenum, and a bile lake in the stomach.

scholarly journals Superior Mesenteric Artery Syndrome in a Patient with Cerebral Palsy

2014 ◽  
Vol 2014 ◽  
pp. 1-3 ◽  
Author(s):  
Adi Neuman ◽  
Bhavita Desai ◽  
Daniel Glass ◽  
Wassim Diab
Keyword(s):  
Weight Loss ◽  
Cerebral Palsy ◽  
Abdominal Pain ◽  
Superior Mesenteric Artery ◽  
Mesenteric Artery ◽  
High Index ◽  
Superior Mesenteric Artery Syndrome ◽  
The Third ◽  
Abdominal Symptoms ◽  
High Index Of Suspicion

Superior mesenteric artery syndrome involves compression of the third part of the duodenum due to narrowing of the area between the aorta and the superior mesenteric artery (SMA). We will describe the case of a 34-year-old with cerebral palsy who presented with abdominal pain, nausea, vomiting, and weight loss and was diagnosed with SMA syndrome via CT-imaging. With failure of conservative measures, our patient underwent a duodenojejunostomy after which improvement in her weight as well as relief of her abdominal symptoms was noted. Given the rarity of this syndrome, physicians need to keep a high index of suspicion in order to prevent the damaging consequences.

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