scholarly journals Case Report of a Superior Mesenteric Artery Syndrome in an Autistic Patient with Schizophrenia

Author(s):  
Lee Mem Tim ◽  
Bernard Ho Kar Eng ◽  
Sentilnathan Subramaniam ◽  
Harivinthan Sellappan

Introduction: Superior mesenteric artery (SMA) syndrome is a rare cause of upper gastrointestinal obstruction. Diagnosis is confirmed via computed tomography (CT) scan showing acute angulation at the origin of superior mesenteric artery compressing on the duodenum causing proximal dilatation of the second part of duodenum.

2019 ◽  
Vol 2019 (3) ◽  
Author(s):  
Dimosthenis Chrysikos ◽  
Theodore Troupis ◽  
John Tsiaoussis ◽  
Markos Sgantzos ◽  
Vasileios Bonatsos ◽  
...  

2021 ◽  
pp. 7-7
Author(s):  
Madhav Santoki ◽  
Alpesh Amin

Superior mesenteric artery (SMA) syndrome is an uncommon but well recognized clinical entity characterized by compression of the third, or transverse, portion of the duodenum between the aorta and the superior mesenteric artery. This results in chronic, intermittent, or acute complete or partial duodenal obstruction. Superior mesenteric artery syndrome was rst described in 1861 by Von Rokitansky, who proposed that its cause was obstruction of the third part of the duodenum as a result of arterio-mesenteric compression. Some studies report the incidence of superior mesenteric artery syndrome to be 0.1- 0.3%.


2019 ◽  
Vol 14 (12) ◽  
pp. 1529-1532
Author(s):  
Hidayatullah Hamidi ◽  
Mohammad Tareq Rahimi ◽  
Sahar Maroof ◽  
Freba Ahrar Soroush

2020 ◽  
pp. 1-2
Author(s):  
Vladimir Schraibman ◽  
Vladimir Schraibman ◽  
Marina Epstein ◽  
Gabriel Maccapani ◽  
Franco Milan Sapuppo ◽  
...  

Superior mesenteric artery (SMA) syndrome (known as Wilkie's syndrome) is a rare cause of upper gastrointestinal obstruction. A 34-year-old woman presented with nonspecific symptoms of postprandial fullness and important weight loss. After screening for other pathologies, it was diagnosed Wilkie’s syndrome. Within this case it was briefly reviewed the diagnostic study and treatment options including a description of the selected approach, a robotic duodenojejunostomy.


2015 ◽  
Vol 9 (2) ◽  
pp. 194-199 ◽  
Author(s):  
Vera Zaraket ◽  
Liliane Deeb

Superior mesenteric artery (SMA) syndrome (known as Wilkie's syndrome) is a rare cause of upper gastrointestinal obstruction. It is an acquired disorder in which acute angulation of the SMA causes compression of the third part of the duodenum between the SMA and the aorta. This is commonly due to loss of fatty tissue as a result of a variety of debilitating conditions. We report a 17-year-old female who presented with intermittent abdominal pain and intractable vomiting following significant weight loss after hospitalization for pneumonia. Symptoms persisted for 2 years and the patient underwent extensive invasive and non-invasive tests, but to no avail. Thereafter she developed acute high intestinal obstruction, which unraveled her diagnosis. This case emphasizes the challenges in the diagnosis of SMA syndrome and the need for increased awareness of this entity. This will improve early recognition in order to reduce irrelevant tests and unnecessary treatments.


2020 ◽  
Vol 2020 ◽  
pp. 1-5
Author(s):  
Nur Ezzaty Mohammad Kazmin ◽  
Lydia Kamaruzaman ◽  
Zhiqin Wong ◽  
Voon Ken Fong ◽  
Rozita Mohd ◽  
...  

Background. Superior mesenteric artery (SMA) syndrome is a rare cause of upper gastrointestinal obstruction leading to acute kidney injury (AKI). Methods. We report a case of 23-year-old army personnel who presented with persistent vomiting leading to severe hypokalaemia, metabolic alkalosis, and acute kidney injury resulting in cardiorespiratory arrest. Results. After successful resuscitation, he was supported with haemodialysis and aggressive electrolytes correction. He was repeatedly not able to tolerate nasogastric (NG) tube feeding and computerised tomography of abdomen was performed, and the diagnosis of SMA syndrome was made. Gastroscopy examination revealed duodenal ulcer at D1, pinhole D1-D2 junction, but there was no evidence of intraluminal mass or lesions leading to upper gastrointestinal obstruction. A nasojejunal tube was inserted to bypass the narrow segment of the duodenum, and he was put on nutritional support. He was subsequently weaned off dialysis support as his renal function gradually improved and later on normalised. He remains symptoms free, and he gained five kilograms in four months after discharge. Conclusions. SMA syndrome is a rare cause of upper gastrointestinal obstruction but should be considered as a differential diagnosis in a patient who presented with recurrent vomiting and AKI with metabolic alkalosis.


1997 ◽  
Vol 21 (3) ◽  
pp. 210-212 ◽  
Author(s):  
G.C. Ooi ◽  
K.L. Chan ◽  
K.F. Ko ◽  
W.C.G. Peh

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