Superior Mesenteric Artery Syndrome: Need for an Awareness

Authors

  • Sushanta Chakma Department of Pathology, VMMC and Safdarjung Hospital, New Delhi, India. https://orcid.org/0000-0001-6833-4806
  • Somshankar Chowdhury Department of Pathology, VMMC and Safdarjung Hospital, New Delhi, India.
  • AK Mandal Director Professor & HOD, Pathology Department, Dr Baba Sahib Ambedkar Medical College and Hospital, New Delhi.

Keywords:

Gastrointestinal Disorder, Superior Mesenteric Artery Syndrome, Superior Mesenteric Artery

Abstract

Superior Mesenteric Artery (SMA) syndrome is an upper gastrointestinal disorder caused by the compression of the third part of the duodenum between Aorta and Superior mesenteric artery. SMA syndrome is a rare pathology with an incidence that ranges between 0.013 and 0.3%. It’s a rare cause of duodenal obstruction which may be complete or partial but is a life-threatening disorder as it poses a diagnostic dilemma. A
patient was admitted in the emergency with complaints of subacute intestinal obstruction along with peritonitis. He underwent exploratory laparotomy along with surgical resection of gangrenous segment.
Histopathological examination showed gangrenous bowel, however, no specific cause could be identified. CT findings were reviewed for a possible compression/ obstruction aetiology. It revealed features suggestive of superior mesenteric artery syndrome.

References

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Derrick JR, Fadhli HA. Surgical anatomy of superior mesentrtic artery syndrome. The American Surgeon

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Gouta EL, Yahmadi A, Rbeii S et al. Superior mesenteric artery syndrome: A Case Report. Journal of Pancrease

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GustafsSon L, Falk A, Lukes PJ et al. Diagnosis and treatment of superior mesenteric artery syndrome.

British jounal of surgery 1984; 71: 499-501.

Welsch T, Buchler MW, Klenle P. Recalling Superior mesenteric artery syndrome. Diagnostic Surgery 2007;

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Published

2019-10-11

Issue

Vol. 5 No. 3 (2019): Recent Advances in Pathology & Laboratory Medicine

Section

Case Report

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