Korean J Gastrointest Endosc.  1999 Oct;19(5):823-828.

Two Cases of Superior Mesenteric Artery Syndrome

Affiliations
  • 1Department of Internal Medicine, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Korea.
  • 2Department of Surgery , University of Ulsan College of Medicine, Asan Medical Center, Seoul, Korea.
  • 3Department of Diagnostic Radiology, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Korea.

Abstract

Superior mesenteric artery (SMA) syndrome results from compression of the third portion of the duodenum by the superior mesenteric artery or one of its branches where this vessel crosses over the duodenum as it descends from the aorta. Recently 2 cases of SMA syndrome were experienced. A 43-year-old female and a 41-year-old male were admitted due to complaints of frequent postprandial abdominal distension and vomiting for 4 months. An UGI series and abdominal CT scan revealed distension of stomach and duodenum with a cut-off in the duodenal third portion. Both patients underwent duodenojejunostomy with successful symptom relief.

Keyword

Superior mesenteric artery syndrome; Duodenojejunostomy

MeSH Terms

Adult
Aorta
Duodenum
Female
Humans
Male
Mesenteric Artery, Superior*
Stomach
Superior Mesenteric Artery Syndrome*
Tomography, X-Ray Computed
Vomiting
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