Superior Mesenteric Artery Compression Syndrome: A Case Report

Superior mesenteric artery (SMA) syndrome is a rare vascular compression disorder resulting from compression of 3rd part of the duodenum between the aorta and SMA due to loss of intervening mesenteric fat pad. Management is usually conservative but failure of which warrants surgical intervention. Imaging modalities document and characterize the typical findings, and are considered paramount in the diagnosis and management of this disease. Here, we present a case of SMA syndrome in an 18-year-old adult presenting with nausea, vomiting, and abdominal pain. Contrast-enhanced study (CECT) of the abdomen and pelvis showed typical findings of SMA syndrome. The patient underwent surgery (duodenojejunostomy) with uncomplicated postoperative recovery.

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Publication Details

Journal
Nepalese Journal of Radiology
Published
2025-03-07
DOI
https://doi.org/10.3126/njr.v14i2.75736
Primary Topic
Abdominal vascular conditions and treatments
Type
article
Field-Weighted Citation Impact
0.00
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article

Superior Mesenteric Artery Compression Syndrome: A Case Report

Bibek Dhital, Sudeep KC
Nepalese Journal of Radiology
Abdominal vascular conditions and treatments
article

Superior Mesenteric Artery Compression Syndrome: A Case Report

Bibek Dhital, Sudeep KC
article en

Abstract

Superior mesenteric artery (SMA) syndrome is a rare vascular compression disorder resulting from compression of 3rd part of the duodenum between the aorta and SMA due to loss of intervening mesenteric fat pad. Management is usually conservative but failure of which warrants surgical intervention. Imaging modalities document and characterize the typical findings, and are considered paramount in the diagnosis and management of this disease. Here, we present a case of SMA syndrome in an 18-year-old adult presenting with nausea, vomiting, and abdominal pain. Contrast-enhanced study (CECT) of the abdomen and pelvis showed typical findings of SMA syndrome. The patient underwent surgery (duodenojejunostomy) with uncomplicated postoperative recovery.

Nepalese Journal of RadiologyVol. 14(2)
Patan Academy of Health Sciences (NP)
Openalex Percentile: Top 93%
Abdominal vascular conditions and treatments
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