Superior Mesenteric Artery Syndrome: A High Index of Suspicion

Abstract

Duodenal obstruction by compression from the superior mesenteric artery (SMA) can be managed using minimally invasive techniques. We will discuss a presentation of a 46-year-old female with abdominal pain and vomiting on background of recent weight loss. Diagnosis was made with CT of abdomen and barium follow-through. She was treated with surgical intervention as initial conservative management failed. Surgery is required when conservative management fails. Though Strong procedure is easy and effective for some patients, duodenojejunostomy is the treatment of choice. Advances in minimally invasive surgery have demonstrated the safety and low morbidity of laparoscopically created enteric anastomoses.




J Med Cases. 2018;9(2):37-40
doi: https://doi.org/10.14740/jmc2982w