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Targeting the Rat's Small Bowel: Long-Term Infusion into the Superior Mesenteric Artery
Published on: April 8, 2021
Clinical and Radiologic Considerations for Idiopathic Superior Mesenteric Artery Syndrome
Mina S Makary1, Anand Rajan2, Anthony M Aquino1
1Radiology, The Ohio State University Wexner Medical Center, Columbus, Ohio, Usa.
Abstract:
Superior mesenteric artery (SMA) syndrome often occurs in the setting of rapid weight loss and scoliosis corrective spinal surgery. A reduction of fat around the third part of the duodenum can predispose the duodenum to compression and obstruction by the SMA as it emerges from the abdominal aorta. In this report, we describe this underdiagnosed condition in a previously healthy young female presenting with progressive post-prandial emesis, non-specific abdominal pain, and weight loss. A critical review of this disease process is explored to highlight pathology, imaging characteristics, and essential alternative diagnostic considerations. We also discuss potential complications and current treatment strategies. SMA syndrome poses unique diagnostic challenges, and an awareness of its clinical presentation can further improve patient outcomes and avoid potentially life-threatening complications.
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