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Related Experiment Video

Updated: Jun 29, 2026

Multimodality Diagnosis of Mesenteric Ischemia

Multimodality Diagnosis of Mesenteric Ischemia

Published on: July 21, 2023

Superior mesenteric artery syndrome: case report.

R C Shukla¹, R Pathak

¹Department of Radiodiagnosis and Imaging, BHU, Varanasi, India.

Nepal Medical College Journal : NMCJ

|October 3, 2008

Summary

This summary is machine-generated.

Superior mesenteric artery (SMA) syndrome, a rare disorder causing duodenal obstruction, was treated with duodenojejunostomy. Further research is needed for managing persistent gastroparesis post-surgery.

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Area of Science:

Gastroenterology
Vascular Surgery

Background:

Superior mesenteric artery (SMA) syndrome, also known as Wilkie's syndrome, is a rare condition caused by duodenal compression between the SMA and aorta.
It is typically associated with significant weight loss and loss of visceral fat, leading to acute angulation of the SMA.

Observation:

A 30-year-old female presented with epigastric pain, nausea, vomiting, and weight loss.
Diagnostic imaging, including barium studies and ultrasound, confirmed duodenal obstruction and a narrowed aortomesenteric angle (220).
A diverticulum proximal to the obstruction was also noted.

Findings:

Duodenojejunostomy was performed to alleviate the obstruction.
The patient subsequently developed refractory gastroparesis, a complication requiring further management.
This case highlights the challenges in managing persistent symptoms after surgical intervention for SMA syndrome.

Implications:

While duodenojejunostomy is a recognized treatment for SMA syndrome, refractory gastroparesis remains a significant post-operative concern.
Further investigation into the long-term management strategies for patients experiencing persistent gastroparesis after surgical correction is warranted.
This case underscores the need for a comprehensive approach to patient care, addressing both the initial obstruction and potential sequelae.