North American Journal of Medical Sciences

CASE REPORT
Year
: 2010  |  Volume : 2  |  Issue : 8  |  Page : 392--394

Superior mesenteric artery syndrome: A case report


Rikki Singal1, Pradeep Kumar Sahu2, Mukesh Goel1, Samita Gupta3, Raman Gupta4, Anupama Gupta5, Manmit Singh Sekhon1, Sunder Lal Goyal1 
1 Department of Surgery, Gian Sagar Medical College & Hospital, Ram Nagar (Banur), Punjab, India
2 Department of Surgery, M.M. Institute of Medical Sciences and Research, Mullana, Distt-Ambala, Haryana, India
3 Department of Radiodiagnosis, M.M. Institute of Medical Sciences and Research, Mullana, Distt-Ambala, Haryana, India
4 Department of Surgery, Adesh Institute of Medical Science & Research, Bathinda, Punjab, India
5 Department of Anatomy, Adesh Institute of Medical Science & Research, Bathinda, Punjab, India

Correspondence Address:
Rikki Singal
Kundan Lal Hospital, Ahmedgarh, Distt-Sangrur (Punjab), Pin Code-148021
India

Context : Superior mesenteric artery syndrome is a life- threatening upper gastrointestinal disorder due to compression of duodenum as it poses a difficult diagnostic dilemma. Third part of duodenum is in fixed compartment bounded anteriorly by the root of mesentery and superior mesentery artery and posteriorly by the aorta and lumbar spine. On barium contrast study and abdominal computerized tomography (CT) showed the dilatation of second part of duodenum and compression of the third part of duodenum between aorta and superior mesentery artery. Case Report : A 22 year young asthenic man admitted with the complaint of recurrent abdominal pain, epigastric fullness, and vomiting and weight loss. Abdominal examination revealed epigastric fullness and hyper peristaltic bowel sounds. Upper gastrointestinal barium study showed a dilated stomach with dilated second part of the duodenum and cut off at the third part of duodenum with no intrinsic mucosal abnormalities. There was no relief of obstruction in the left lateral decubitus or prone position. Conservative treatment was tried for one month but failed. Intra-operative findings confirmed the extrinsic obstruction of third part of duodenum with distension of 2 nd part. A retrocolic duodenojejunostomy, side to side anastomosis done. In post-operative follow up, patient was symptom free. Conclusion : Superior mesentery artery syndrome is a life threatening disease. It should be treated as soon as possible. Conservative trial can be given but Surgery is the treatment of the choice.


How to cite this article:
Singal R, Sahu PK, Goel M, Gupta S, Gupta R, Gupta A, Sekhon MS, Goyal SL. Superior mesenteric artery syndrome: A case report.North Am J Med Sci 2010;2:392-394


How to cite this URL:
Singal R, Sahu PK, Goel M, Gupta S, Gupta R, Gupta A, Sekhon MS, Goyal SL. Superior mesenteric artery syndrome: A case report. North Am J Med Sci [serial online] 2010 [cited 2022 May 28 ];2:392-394
Available from: https://www.najms.org/article.asp?issn=1947-2714;year=2010;volume=2;issue=8;spage=392;epage=394;aulast=Singal;type=0