Table of Contents

2017 Month : June Volume : 3 Issue : 1 Page : 1-4

A RARE CASE OF SUPERIOR MESENTERIC ARTERY SYNDROME.

Seetha Pramila V. V1, Shankar2, Karthik3, Anil Kumar Shukla4, R. Nagesh5

Corresponding Author:
Dr. Seetha Pramila V. V,
#728, Panchavati, 23rd Cross,
Ideal Homes Township,
Raja-Rajeswari Nagar,
Bengaluru-560098.
E-mail: varadaseetha@gmail.com

ABSTRACT

BACKGROUND

Superior Mesenteric Artery syndrome is a rare condition with an incidence of 0.013 – 0.3%. It causes obstruction at the third part of the duodenum due to compression between the Superior Mesenteric Artery and the aorta.

CASE REPORT

A 16-year-old male patient presented with complaints of vomiting, pain abdomen and loss of weight of six months’ duration. Contrast CT was done and the patient was diagnosed to have Superior Mesenteric Artery syndrome.

DISCUSSION

CT is the modality of choice to diagnose SMA Syndrome. CT angiography is preferred and the two cardinal signs to look for are – AMA (Aortomesenteric Angle) and AMD (Aortomesenteric Distance).

CONCLUSION

CT is the gold standard in diagnosing Superior Mesenteric Artery Syndrome and eliminating other causes of intestinal obstruction.

KEYWORDS

SMA Syndrome, Wilkie’s Syndrome, Cast Syndrome, Aortomesenteric Angle (AMA), Aortomesenteric Distance (AMD).

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