AI Article Synopsis
- SMA syndrome is a rare condition where the superior mesenteric artery compresses the duodenum, leading to potential bowel obstruction and serious complications if not diagnosed promptly.
- An 18-year-old male experienced severe abdominal issues after a buffet, diagnosed with mega-stomach and requiring a total gastrectomy due to necrosis.
- This case highlights the need for clinicians to recognize SMA syndrome as a possible cause in cases of acute gastric dilatation.
Article Abstract
Superior mesenteric artery (SMA) syndrome is a rare cause of proximal bowel obstruction due to duodenal compression by the SMA. The morbidity and mortality associated with delayed diagnosis and its complications make it an important differential cause for bowel obstruction. We report a case of mega-stomach secondary to SMA syndrome requiring total gastrectomy. An 18-year-old male presented with vomiting, abdominal pain and shock after a buffet. Computed tomography (CT) imaging revealed a grossly distended stomach (113 × 187 × 350mm) and a transition point at the third part of the duodenum, along with pneumatosis and portal venous gas. Emergency gastroscopy showed blood and necrotic mucosa. Laparotomy confirmed full thickness necrosis and the patient underwent a total gastrectomy with Roux-en-Y reconstruction. Postoperatively, he had a brief intensive care stay and recovered without complications. This case underscores the importance of considering SMA syndrome during presentations of acute gastric dilatation.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11260180 | PMC |
| http://dx.doi.org/10.1093/jscr/rjae463 | DOI Listing |
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