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Superior Mesenteric Artery Syndrome.

Asif Ali Amir Ali1, Kanwal Hameed1, Ali Nawaz1

  • 1Department of Surgery, Jinnah Postgraduate Medical Centre (JPMC), Karachi, Pakistan.

Journal of the College of Physicians and Surgeons--Pakistan : JCPSP
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Summary

A 15-year-old boy with abdominal pain and vomiting was diagnosed with Superior Mesenteric Artery (SMA) syndrome. This rare condition caused upper gastrointestinal obstruction and was successfully treated with surgery.

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Area of Science:

  • Gastroenterology
  • Radiology
  • Pediatric Surgery

Background:

  • Superior Mesenteric Artery (SMA) syndrome is a rare cause of upper gastrointestinal obstruction.
  • Diagnosis can be challenging, often requiring advanced imaging techniques.

Observation:

  • A 15-year-old male presented with a 6-month history of abdominal pain, epigastric fullness, vomiting, and weight loss.
  • Computed tomography (CT) scan revealed a narrow aortomesenteric angle (15°) and significant dilation of the stomach and duodenum.

Findings:

  • The CT findings were consistent with SMA syndrome, indicating compression of the duodenum by the superior mesenteric artery.
  • Surgical intervention, specifically duodenojejunostomy, was successfully performed to relieve the obstruction.

Implications:

  • This case highlights the importance of considering SMA syndrome in the differential diagnosis of upper gastrointestinal obstruction in adolescents.
  • Early and accurate diagnosis through imaging is crucial for timely surgical management and improved patient outcomes.