Superior Mesenteric Artery Syndrome: A Report of a Rare Case

Cureus. 2024 Jul 1;16(7):e63572. doi: 10.7759/cureus.63572. eCollection 2024 Jul.

Abstract

Superior mesenteric artery (SMA) syndrome is a rare disease in which the third part of the duodenum between the SMA and the abdominal aorta is compressed, leading to small bowel obstruction. Treatment is usually conservative, such as parenteral and nasojejunal nutrition. The pathophysiology includes loss of the retroperitoneal fat layer and subsequent duodenal compression. We present a 53-year-old malnourished female patient who came with complaints of vomiting, constipation, abdominal pain, and distension for four days. This article highlights the diagnostic challenges associated with SMA syndrome and emphasizes the importance of early diagnosis and intervention.

Keywords: aorto-mesenteric compass syndrome; aortomesenteric duodenal compression syndrome; cast syndrome; duodenal compression; intestinal obstruction; mesenteric root syndrome; sma syndrome; superior mesenteric artery (sma); superior mesenteric artery syndrome; wilkie's syndrome.

Publication types

  • Case Reports