conclusions in addition to an appropriate clinical history, ct findings indicating decreased aortomesenteric angle and a shortened aortomesenteric distance can suggest the diagnosis for both the superior mesenteric artery syndrome and accompanying nutcracker syndrome. case presentation in this report, a patient is described presenting with epigastric pain and weight loss due to superior mesente...

superior mesenteric artery syndrome is a very uncommon disorder in which acute angulation of superior mesenteric artery (sma) at its origin from aorta results in compression of the third part of the duodenum leading to partial or complete obstruction of the duodenum. other terminologies for this condition are cast syndrome, wilkie syndrome, arteriomesenteric duodenal obstruction, and chronic du...

BACKGROUND Superior mesenteric artery syndrome is caused by compression of the third portion of the duodenum by the superior mesenteric artery. Many disease states predispose one to this condition. METHODS We present a case report of a young female patient who presented with gastro-duodenal obstruction from superior mesenteric artery syndrome and subsequently underwent surgical treatment with...

isolated dissection of the superior mesenteric artery is a rare occurrence with a hitherto unknown exact etiology. patients may present with abdominal symptoms or hemodynamic instability. w e herein present a case of spontaneous isolated superior mesenteric artery dissection in a 48-year-old man, who was admitted with epigastric pain. due to an undiagnosed paced rhythm on the electrocardiogram,...

1. Gustafsson L, Falk A, Lukes PJ, Gamklou R. Diagnosis and treatment of superior mesenteric artery syndrome. Br J Surg. 1984;71:499–501. 2. Jo JB, Song KY, Park CH. Laparoscopic duodenojejunostomy for superior mesenteric artery syndrome: Report of a case. Surg Laparosc Endosc Percutan Tech. 2008;18:213–5. 3. Fernández MT, López MJ, Bardasco ML, Álvarez P, Rivero MT, Garcı́a G. Sı́ndrome de Wilki...

A 63-year-old female presented to our department complaining of epigastric pain, nausea and vomiting. Symptoms started after a significant loss of weight and persisted despite treatment, leading to hospitalization for dehydration and renal failure due to protracted vomiting. During hospitalization, no pathology could be identified and the patient was discharged. Symptoms persisted and she was e...

BACKGROUND An obstruction of the distal part of the duodenum can occur because of the superior mesenteric artery syndrome (SMAS) after a surgical correction of scoliosis. It is essential to evaluate the risk factors and diagnose the SMAS in time because complications of this condition are life-threatening and it is associated with a high rate of morbidity. Diagnostics of the SMAS is challenging...

A 29-year-old woman presented with postprandial nausea, a weight loss of 5 kg in 6 months and vomiting for the previous 10 years. At the age of 24 years old, she was first suspected to have anorexia nervosa. Medication was given with little or no improvement in clinical symptoms. At the age of 27 years old, she visited another medical facility. Upper gastrointestinal examination (Fig. 1) reveal...