AI Article Synopsis
- Superior mesenteric artery (SMA) syndrome is a rare condition that causes blockage in the upper part of the intestines, typically diagnosed by ruling out other causes.
- Key symptoms include intense stomach pain after eating, excessive belching, a feeling of fullness, and severe vomiting due to the duodenum being compressed by the SMA.
- In a reported case series, three patients with confirmed SMA syndrome underwent successful laparoscopic surgery to relieve the obstruction.
Article Abstract
Superior mesenteric artery (SMA) syndrome is an atypical, rare cause of both acute and chronic high intestinal obstruction. Identification of this syndrome can be a diagnostic dilemma and is frequently made by exclusion. The most characteristic symptoms are postprandial epigastric pain, eructation, fullness, and voluminous vomiting. Symptoms are caused by compression of the third portion of the duodenum against the posterior structures by a narrow-angled SMA. When nonsurgical management is not possible or the problem is refractory, surgical intervention is necessary. In this article, we report a case series of SMA syndrome in 3 patients with radiologic evaluation confirming compression of the third portion of the duodenum by the SMA with resultant proximal dilatation. The patients all successfully underwent laparoscopic duodenojejunal anastomosis.
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| http://dx.doi.org/10.1089/lap.2009.0237 | DOI Listing |
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