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Superior mesenteric artery syndrome

W C Lo1, H F Wong, K M Yeow

  • 1Department of Diagnostic Radiology, Chang Gung Memorial Hospital, Tao-Yuan, Taiwan, R.O.C.

Zhonghua Minguo Xiao Er Ke Yi Xue Hui Za Zhi [Journal]. Zhonghua Minguo Xiao Er Ke Yi Xue Hui
|January 1, 1997
PubMed
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Superior mesenteric artery (SMA) syndrome, a rare condition causing vomiting and pain, was diagnosed in a tall, thin adolescent. Medical treatment successfully relieved her symptoms, with a smooth outpatient follow-up.

Area of Science:

  • Gastroenterology
  • Pediatric Medicine
  • Radiology

Background:

  • Superior mesenteric artery (SMA) syndrome is an uncommon gastrointestinal disorder characterized by the compression of the third portion of the duodenum by the superior mesenteric artery.
  • This condition can lead to significant upper gastrointestinal symptoms, particularly in adolescents and young adults.

Observation:

  • A case study of a 15-year-old female presenting with acute epigastric pain and vomiting is detailed.
  • The patient exhibited a tall and thin body habitus, a common physical characteristic associated with SMA syndrome.
  • Diagnostic imaging, including upper gastrointestinal barium study, angiography, and abdominal sonography, was crucial in confirming the diagnosis.

Findings:

  • The diagnostic workup confirmed Superior mesenteric artery (SMA) syndrome as the cause of the patient's symptoms.

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  • Medical management was initiated and proved effective in alleviating the presenting epigastric pain and vomiting.

    • Implications:

    • This case highlights the importance of considering SMA syndrome in the differential diagnosis of upper gastrointestinal distress in adolescents.
    • Accurate diagnosis through appropriate imaging modalities is key to effective management.
    • Successful medical treatment suggests a conservative approach can be beneficial for managing SMA syndrome in select pediatric patients.