Superior Mesenteric Artery Syndrome: Clinical and Radiological Considerations

Surgery Research and Practice
M Ezzedien RabieIsmail El Hakeem

Abstract

Background. Superior mesenteric artery (SMA) syndrome is a rare condition of duodenal obstruction, caused by the overlying SMA. Aim. To report on our experience with the management of SMA syndrome, drawing the attention to its existence. Material and Methods. We reviewed our records to identify cases diagnosed with SMA syndrome, in the period from October 1995 to January 2012. Results. Seven patients were identified, one male and six females. Their mean age was 17.1 years. Vomiting and abdominal pain were the presenting complaints in all patients and history of weight loss was present in six of them. In no patient was the diagnosis suspected initially on clinical grounds. Only after radiological investigations was the diagnosis declared. Radiology took the form of gastrografin/barium meal only in four patients and both gastrografin/barium meal and computerized tomography scan in the remaining three. Four patients responded to medical treatment and surgery was performed in the remaining three, with open duodenojejunostomy in two patients and laparoscopic dissection of the ligament of Treitz in the third. Long lasting improvement was sustained in all patients except one in the surgery group who, despite initial improvement, still...Continue Reading

References

Aug 1, 1979·The Journal of Trauma·T J LescherB A Pruitt
Apr 1, 1985·Journal of Clinical Gastroenterology·L B CohenD B Sachar
Apr 1, 1968·Archives of Surgery·W T Newton
Jan 22, 2008·Journal of Medical Case Reports·Athanasios I TsirikosAlexander D L Baker
Dec 17, 2009·World Journal of Gastroenterology : WJG·Meng-Chieh WuWen-Ming Wang
May 21, 2010·Vascular and Endovascular Surgery·John L Falcone, Kevin O Garrett
Aug 9, 2011·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Subhashini M AylooPier C Giulianotti
Nov 25, 2011·The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi·Cheon Woo LeeSi Sung Park
Dec 14, 2011·Journal of Pediatric Surgery·Rafat MosalliBosco Paes
Jun 1, 2010·The Indian Journal of Surgery·Seetharam PrasadZeeshan Abdul

❮ Previous
Next ❯

Citations

Jun 9, 2016·Archives de pédiatrie : organe officiel de la Sociéte française de pédiatrie·S RioualenJ Sizun
Sep 19, 2018·Gastroenterology Research and Practice·Emanuele SinagraMassimo Midiri
Nov 12, 2019·Radiology Case Reports·Hidayatullah HamidiFreba Ahrar Soroush

❮ Previous
Next ❯

Methods Mentioned

BETA
SMA
dissection

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

JSLS : Journal of the Society of Laparoendoscopic Surgeons
K S Gersin, B T Heniford
JSLS : Journal of the Society of Laparoendoscopic Surgeons
Jason D FraserJames M Swain
Clinical Medicine Insights. Case Reports
Sungsoo KimYoung-Don Min
© 2021 Meta ULC. All rights reserved