Rare bowel emphysema with superior mesenteric artery syndrome after surgery

Superior mesenteric artery syndrome, a rare cause of duodenal obstruction, occasionally requires surgery. Bowel emphysema might also require surgery and might be an ominous sign of a serious condition. We report the case of a 69-year-old Japanese man with left pneumothorax who was also diagnosed as having bowel emphysema and superior mesenteric artery syndrome simultaneously without serious infection after surgery for the pneumothorax. Following gastric decompression via a nasogastric tube, his general condition resolved quickly with no need for surgical intervention. Prompt and precise diagnosis by computed tomography and both adequate judgment and treatment can avoid surgery in such cases.

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Computed tomography of the superior mesenteric artery syndrome

Clinical Imaging ◽

10.1016/s0899-7071(96)00027-7 ◽

1997 ◽

Vol 21 (3) ◽

pp. 210-212 ◽

Cited By ~ 7

Author(s):

G.C. Ooi ◽

K.L. Chan ◽

K.F. Ko ◽

W.C.G. Peh

Keyword(s):

Computed Tomography ◽

Superior Mesenteric Artery ◽

Mesenteric Artery ◽

Superior Mesenteric Artery Syndrome

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Superior mesenteric artery syndrome with duodenal obstruction

10.53347/rid-95110 ◽

2021 ◽

Author(s):

Frances Colgan

Keyword(s):

Superior Mesenteric Artery ◽

Mesenteric Artery ◽

Duodenal Obstruction ◽

Superior Mesenteric Artery Syndrome

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Study on Mesenchymal Artery Syndrome and Its Related Anatomy by MDCTA

Anatomical Science ◽

10.24294/as.v1i1.330 ◽

2018 ◽

Vol 1 (1) ◽

Author(s):

Zhaoan Hu ◽

Weiduo Song ◽

Liqiang Liu

Keyword(s):

Superior Mesenteric Artery ◽

Abdominal Aorta ◽

Normal Level ◽

Mesenteric Artery ◽

Duodenal Obstruction ◽

Normal Subjects ◽

Superior Mesenteric Artery Syndrome ◽

Clinical Value ◽

Abdominal Aortic

Objective: To study the eﬀect of MDCTA on the angle and distance of mesenteric artery and abdominal aorta in normal and superior mesenteric artery syndrome and its effect on duodenal level. Materials and Methods: Using MDCTA, retrospective observation of 108 cases of normal and 17 cases of superior mesenteric artery syndrome in patients with superior mesenteric artery and abdominal aortic angle and duodenal level mesenteric artery and abdominal aortic space, and compared. Results: All MDCTA of patients with superior mesenteric artery syndrome showed 'clamp pressure' of the superior mesenteric artery and abdominal aorta in the duodenal segment, causing duodenal obstruction. Among the 108 normal subjects, the angle between the superior mesenteric artery and the abdominal aorta was 46.3 ° ± 16.5 ° and 14.3 ° ± 5.6 ° in the superior mesenteric artery syndrome. The normal level of the duodenum was superior to the superior mesenteric artery Arterial distance of 14.7 ± 4.4mm, superior mesenteric artery syndrome in patients with 4.5 ± 0.8mm, the two groups of data have significant statistical diﬀerences. Conclusion: MDCTA can show the duodenal obstruction caused by the mesenteric artery and the abdominal aorta of the superior mesenteric artery syndrome, and can accurately show the angle between the superior mesenteric artery and the abdominal aorta the reduction of distance, the diagnosis of superior mesenteric artery syndrome has important clinical value.

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Superior Mesenteric Artery Syndrome: A Forgotten Cause of Duodenal Obstruction

Cureus ◽

10.7759/cureus.10710 ◽

2020 ◽

Author(s):

Asim Haider ◽

Madhav Sharma ◽

Ayesha Siddiqa

Keyword(s):

Superior Mesenteric Artery ◽

Mesenteric Artery ◽

Duodenal Obstruction ◽

Superior Mesenteric Artery Syndrome

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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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EUS-guided gastroenterostomy for duodenal obstruction secondary to superior mesenteric artery syndrome

VideoGIE ◽

10.1016/j.vgie.2020.09.008 ◽

2020 ◽

Author(s):

Abdul Kouanda ◽

Rabindra Watson ◽

Kenneth F. Binmoeller ◽

Andrew Nett ◽

Christopher Hamerski

Keyword(s):

Superior Mesenteric Artery ◽

Mesenteric Artery ◽

Duodenal Obstruction ◽

Superior Mesenteric Artery Syndrome

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A CASE REPORT : A CASE OF SUPERIOR MESENTERIC ARTERY SYNDROME

10.36106/ijsr/4602908 ◽

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%.

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