Superior Mesenteric Artery Syndrome: An Uncommon Cause of Abdominal Pain Mimicking Gastroenteritis

Abdominal pain and vomiting are frequently encountered in the emergency department. We report a 54-year-old man with an uncommon cause of intestinal obstruction – superior mesenteric artery syndrome – who presented with epigastric pain and vomiting. Diagnosis is clinical with radiological confirmation by upper gastrointestinal series or computed tomography scan. Most patients respond to conservative and supportive treatment. A minority may need surgical intervention.

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Superior Mesenteric Artery Syndrome: An Unusual Cause of Abdominal Pain

Cureus ◽

10.7759/cureus.11505 ◽

2020 ◽

Author(s):

Sobia N Laique ◽

Catherine F Vozzo ◽

Prabhleen Chahal

Keyword(s):

Abdominal Pain ◽

Superior Mesenteric Artery ◽

Mesenteric Artery ◽

Superior Mesenteric Artery Syndrome

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Superior mesenteric artery syndrome: a rare case of upper gastrointestinal obstruction

Journal of Surgical Case Reports ◽

10.1093/jscr/rjz054 ◽

2019 ◽

Vol 2019 (3) ◽

Author(s):

Dimosthenis Chrysikos ◽

Theodore Troupis ◽

John Tsiaoussis ◽

Markos Sgantzos ◽

Vasileios Bonatsos ◽

...

Keyword(s):

Superior Mesenteric Artery ◽

Mesenteric Artery ◽

Rare Case ◽

Superior Mesenteric Artery Syndrome ◽

Gastrointestinal Obstruction ◽

Upper Gastrointestinal

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Superior Mesenteric Artery Syndrome: A Rare Mimic of Common Causes of Upper Gastrointestinal Obstruction

Euroasian Journal of Hepato-Gastroenterology ◽

10.5005/jp-journals-10018-1098 ◽

2014 ◽

Vol 4 (1) ◽

pp. 58-60 ◽

Cited By ~ 1

Author(s):

Gayatri Madhab ◽

Jette Madsen ◽

Eva Brems Dalgaard ◽

Arindam Bharadwaz

Keyword(s):

Superior Mesenteric Artery ◽

Mesenteric Artery ◽

Superior Mesenteric Artery Syndrome ◽

Gastrointestinal Obstruction ◽

Common Causes ◽

Upper Gastrointestinal

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Unusual Complication of Superior Mesenteric Artery Syndrome: Spontaneous Upper Gastrointestinal Bleeding with Hypovolemic Shock

Journal of the Chinese Medical Association ◽

10.1016/s1726-4901(09)70020-6 ◽

2009 ◽

Vol 72 (1) ◽

pp. 45-47 ◽

Cited By ~ 10

Author(s):

Kai-Hsiung Ko ◽

Shih-Hung Tsai ◽

Chih-Yung Yu ◽

Guo-Shu Huang ◽

Chang-Hsien Liu ◽

...

Keyword(s):

Gastrointestinal Bleeding ◽

Superior Mesenteric Artery ◽

Mesenteric Artery ◽

Upper Gastrointestinal Bleeding ◽

Hypovolemic Shock ◽

Superior Mesenteric Artery Syndrome ◽

Unusual Complication ◽

Upper Gastrointestinal

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Case Report of a Superior Mesenteric Artery Syndrome in an Autistic Patient with Schizophrenia

Borneo Journal of Medical Sciences (BJMS) ◽

10.51200/bjms.vi.2948 ◽

2021 ◽

pp. 21

Author(s):

Lee Mem Tim ◽

Bernard Ho Kar Eng ◽

Sentilnathan Subramaniam ◽

Harivinthan Sellappan

Keyword(s):

Computed Tomography ◽

Case Report ◽

Ct Scan ◽

Superior Mesenteric Artery ◽

Mesenteric Artery ◽

Superior Mesenteric Artery Syndrome ◽

Autistic Patient ◽

Gastrointestinal Obstruction ◽

Sma Syndrome ◽

Upper Gastrointestinal

Introduction: Superior mesenteric artery (SMA) syndrome is a rare cause of upper gastrointestinal obstruction. Diagnosis is confirmed via computed tomography (CT) scan showing acute angulation at the origin of superior mesenteric artery compressing on the duodenum causing proximal dilatation of the second part of duodenum.

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Acute abdominal pain caused by superior mesenteric artery syndrome in a healthy young boy

BMJ Case Reports ◽

10.1136/bcr-2016-217512 ◽

2016 ◽

pp. bcr2016217512 ◽

Cited By ~ 1

Author(s):

Sho Nishiguchi ◽

Takashi Shirobe

Keyword(s):

Abdominal Pain ◽

Superior Mesenteric Artery ◽

Mesenteric Artery ◽

Acute Abdominal Pain ◽

Superior Mesenteric Artery Syndrome

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Superior mesenteric artery syndrome – a rare diagnosis for common upper gastrointestinal symptoms

Hamdan Medical Journal ◽

10.7707/hmj.616 ◽

2017 ◽

Vol 10 (4) ◽

pp. 245

Author(s):

AmmarMH Shehadeh ◽

MohammedSamir Mokhtar Hamed Elwan ◽

HazemMohamed Mostafa Elfar

Keyword(s):

Superior Mesenteric Artery ◽

Mesenteric Artery ◽

Gastrointestinal Symptoms ◽

Superior Mesenteric Artery Syndrome ◽

Upper Gastrointestinal Symptoms ◽

Upper Gastrointestinal ◽

Rare Diagnosis

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An uncommon cause of abdominal pain and weight loss: the superior mesenteric artery syndrome

VASA ◽

10.1024/0301-1526/a000342 ◽

2014 ◽

Vol 43 (2) ◽

pp. 149-153 ◽

Cited By ~ 1

Author(s):

Yasemin Gunduz ◽

Fatih Altintoprak ◽

Kiyasettin Asil ◽

Guner Cakmak

Keyword(s):

Weight Loss ◽

Abdominal Pain ◽

Superior Mesenteric Artery ◽

Mesenteric Artery ◽

Superior Mesenteric Artery Syndrome

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Superior mesenteric artery syndrome as a cause for recurrent abdominal pain and vomiting in a 9-year-old girl

BMJ Case Reports ◽

10.1136/bcr-2014-209270 ◽

2015 ◽

Vol 2015 (feb26 1) ◽

pp. bcr2014209270-bcr2014209270 ◽

Cited By ~ 2

Author(s):

J. M. Forsyth ◽

K. Muhammad ◽

K. Mahmood

Keyword(s):

Abdominal Pain ◽

Superior Mesenteric Artery ◽

Mesenteric Artery ◽

Recurrent Abdominal Pain ◽

Superior Mesenteric Artery Syndrome

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Duodenal Derotation as an Effective Treatment of Superior Mesenteric Artery Syndrome: A Thirty-Three Year Experience

The American Surgeon ◽

10.1177/000313480807400712 ◽

2008 ◽

Vol 74 (7) ◽

pp. 644-653 ◽

Cited By ~ 12

Author(s):

Chi D. Ha ◽

Domingo T. Alvear ◽

David C. Leber

Keyword(s):

Superior Mesenteric Artery ◽

Surgical Complications ◽

Mesenteric Artery ◽

Three Dimensional ◽

Young Patients ◽

Superior Mesenteric Artery Syndrome ◽

Gastrointestinal Series ◽

The Mean

We evaluated the use of duodenal derotation as a surgical option for superior mesenteric artery syndrome (SMAS) in two groups of young patients. Sixteen patients with SMAS diagnosed by barium upper gastrointestinal series (UGI) from 1974 to 2001, and six patients diagnosed by computerized tomography with three-dimensional reconstructions (3D CT) from 2001 to 2007 were referred to our surgical service, 19 of whom underwent duodenal derotation as the primary surgical treatment after a failed trial of conservative treatment. The main measured outcomes were the resolution of typical symptoms of SMAS and the development of long-term surgical complications. Of the first 16 patients, three (19%) responded to nasojejunal feedings. Of 13 patients undergoing derotation, only one (7.7%) failed derotation and required a gastrojejunostomy bypass, whereas 12 (92%) became asymptomatic after the derotation procedure. After a mean follow-up of 5.13 years (range 0.1–15), two patients (15%) presented with small bowel obstructions and were treated with a simple lysis of the adhesion. All six patients from 2001 to 2007 responded well to surgical derotation. Overall, duodenal derotations successfully relieved symptoms in 18 out of 19 (95%) patients with SMAS, with two (11%) major long-term surgical complications. No volvulus was observed in our patients at the mean follow-up of 4.37 years.

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