Superior mesenteric artery syndrome in conjunction with Crohn’s disease – a case report

2020 ◽  
Vol 74 (6) ◽  
pp. 488-491
Author(s):  
Ivana Červinková ◽  
Denisa Pavlovská ◽  
Marcelqa Charvátová ◽  
Jarmila Skotáková
Keyword(s):  
Crohn’S Disease ◽  
Crohn's Disease ◽  
Superior Mesenteric Artery ◽  
Mesenteric Artery ◽  
Rare Condition ◽  
Superior Mesenteric Artery Syndrome ◽  
Computed Tomography Scans ◽  
Aortomesenteric Angle ◽  
Diagnostic Criterion ◽  
The Relationship

Superior mesenteric artery syndrome (SMAS) is a rare condition characterized by mechanical compression of the third part of the duodenum between the abdominal aorta and the superior mesenteric artery. The relationship between Crohn‘s disease and SMAS is seldom described in literature, although patients with Crohn‘s disease have many predispositions to its development. We describe the case of a 17-year- -old female patient who has been dia gnosed with Crohn‘s disease for several years and has been experiencing symptoms of abdominal discomfort and significant weight loss for five months. Magnetic resonance imaging was a key method for dia gnosing SMAS. In addition, older contrast computed tomography scans were evaluated retrospectively with regards to the aortomesenteric angle and distance, the reduction of which is a diagnostic criterion for SMAS. Our goal is to highlight the importance of measuring these values in patients with Crohn‘s disease for early detection of the risk of SMAS.

Superior mesenteric artery thrombosis related to double balloon enteroscopy in a patient with Crohn's disease

2013 ◽  
Vol 37 (1) ◽  
pp. e40-e41 ◽  
Author(s):  
Aydin Şeref Köksal ◽  
Ismail Hakki Kalkan ◽  
Serkan Torun ◽  
Bülent Ödemiş ◽  
Zeki Mesut Yalin Kiliç ◽  
...  
Keyword(s):  
Crohn’S Disease ◽  
Crohn's Disease ◽  
Superior Mesenteric Artery ◽  
Mesenteric Artery ◽  
Double Balloon Enteroscopy ◽  
Balloon Enteroscopy ◽  
Double Balloon ◽  
Artery Thrombosis

scholarly journals Superior Mesenteric Artery Syndrome: A Worldwide Descriptive Study with Literature Review

2016 ◽  
Vol 4 (2) ◽  
pp. 50-54
Author(s):  
Ruhidayati Awaludin ◽  
Hazimah Ab Rahim ◽  
Dg. Syazana Arivai ◽  
Mostafa Refaie Elkeleny
Keyword(s):  
Superior Mesenteric Artery ◽  
Mesenteric Artery ◽  
Rare Condition ◽  
Superior Mesenteric Artery Syndrome ◽  
Time Interval ◽  
Presenting Symptoms ◽  
Clinical Presentations ◽  
Choice Of Treatment ◽  
Long Term Follow Up ◽  
Microsoft Office

Background: Superior mesenteric artery syndrome is best described as compression of the third part of duodenum by the superior mesenteric artery, resulting in obstruction. This rare condition has been studied for decades yet remains obscure. This study aimed to analyze different clinical presentations, diagnostic modalities, treatment approaches and outcomes of this condition. Methods: Thirty-five superior mesenteric artery syndrome cases were collected retrospectively from a Facebook group called “Superior Mesenteric Artery Syndrome Awareness & Support”. A questionnaire was designed using Google Forms to obtain the demographics, presenting symptoms, risk factors and co-morbidities, investigations, means of treatment and the outcomes. Data was entered into Microsoft Office Excel for statistical analysis. Results: The median age at diagnosis was 22 years. The median body mass index was 20.8 kg/m2. The median time interval from symptom onset to initial diagnosis was 22 months. The major presenting symptoms were abdominal pain (82.9%), nausea (77.1%), and vomiting (65.7%). Abdominal computed tomography scan with contrast (82.9%) was commonly used for confirmation of diagnosis. Thirteen cases (37.1%) were congenital. Thirty patients (85.7%) had received treatment. The overall management success was only 13.3%. Surgical management (34.3%) was the most commonly used regimen. Conclusion: Diagnosis of superior mesenteric artery syndrome is established after a thorough assessment of the clinical presentations and confirmed with suitable imaging modalities. The choice of treatment should be dependent on the causes and severity as different patients respond differently to therapy. Recurrence is possible in all patients, and a long-term follow up is thus required.

scholarly journals Superior mesenteric artery syndrome

2017 ◽  
Vol 4 (3) ◽  
pp. 1141
Author(s):  
Vikrant Mohan Bhagvat ◽  
Juily Vishwanath Aher ◽  
Nimesh Shah
Keyword(s):  
Surgical Treatment ◽  
Superior Mesenteric Artery ◽  
Mesenteric Artery ◽  
Rare Condition ◽  
Superior Mesenteric Artery Syndrome ◽  
Rapid Loss ◽  
Outflow Obstruction ◽  
Loss Of Weight ◽  
Transverse Portion

Superior mesenteric artery syndrome (SMAS) is a rare condition caused by compression of the transverse portion of the duodenum between the superior mesenteric artery (SMA) and the aorta, causing symptoms of duodenal outflow obstruction. We report a case of superior mesenteric artery syndrome in a 25-year-old female associated with rapid loss of weight and intermittent vomiting and resulting in severe duodenal compression that necessitated surgical treatment.

scholarly journals Role of Doppler ultrasonography evaluation of superior mesenteric artery flow volume in the assessment of Crohn's disease activity

2013 ◽  
Vol 46 (5) ◽  
pp. 279-283 ◽  
Author(s):  
Fabiana Paiva Martins ◽  
Eduardo Garcia Vilela ◽  
Maria de Lourdes Abreu Ferrari ◽  
Henrique Osvaldo da Gama Torres ◽  
Juliana Brovini Leite ◽  
...  
Keyword(s):  
Crohn’S Disease ◽  
Crohn's Disease ◽  
Disease Activity ◽  
Superior Mesenteric Artery ◽  
Mesenteric Artery ◽  
Doppler Ultrasonography ◽  
Flow Volume ◽  
Crohn’S Disease Activity ◽  
Artery Flow

scholarly journals Assessment of activity of Crohn's disease by Doppler sonography of superior mesenteric artery flow

2010 ◽  
Vol 4 (3) ◽  
pp. 334-340 ◽  
Author(s):  
Sami Karoui ◽  
Kais Nouira ◽  
Meriem Serghini ◽  
Nadia Ben Mustapha ◽  
Jalel Boubaker ◽  
...  
Keyword(s):  
Crohn’S Disease ◽  
Crohn's Disease ◽  
Superior Mesenteric Artery ◽  
Mesenteric Artery ◽  
Doppler Sonography ◽  
Artery Flow

scholarly journals Superior Mesenteric Artery Syndrome: An Infrequent Complication of Scoliosis Surgery

2014 ◽  
Vol 2014 ◽  
pp. 1-5 ◽  
Author(s):  
Metin Keskin ◽  
Turgut Akgül ◽  
Adem Bayraktar ◽  
Fatih Dikici ◽  
Emre Balık
Keyword(s):  
Surgical Treatment ◽  
Conservative Treatment ◽  
Intestinal Obstruction ◽  
Superior Mesenteric Artery ◽  
Mesenteric Artery ◽  
Rare Condition ◽  
Superior Mesenteric Artery Syndrome ◽  
Scoliosis Surgery ◽  
Small Intestinal Obstruction ◽  
Small Intestinal

Superior mesenteric artery syndrome is a rare condition that causes a proximal small intestinal obstruction due to contraction of the angle between the superior mesenteric artery and the aorta. Scoliosis surgery is one of the 15 reasons for superior mesenteric artery syndrome, which can present with acute or chronic manifestations. Although conservative treatment is usually possible, surgical treatment is required in certain cases that cannot be treated using conservative methods. In this paper, we describe a patient who developed superior mesenteric artery syndrome after scoliosis surgery and was treated with duodenojejunostomy due to failure and complications of conservative treatment.

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

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