Superior mesenteric artery syndrome managed laparoscopically: a case report.

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  • Author(s): Vakil R;Vakil R; Zingade AP; Zingade AP; Baviskar M; Baviskar M
  • Source:
    Journal of medical case reports [J Med Case Rep] 2024 Aug 23; Vol. 18 (1), pp. 391. Date of Electronic Publication: 2024 Aug 23.
  • Publication Type:
    Case Reports; Journal Article
  • Language:
    English
  • Additional Information
    • Source:
      Publisher: BioMed Central Country of Publication: England NLM ID: 101293382 Publication Model: Electronic Cited Medium: Internet ISSN: 1752-1947 (Electronic) Linking ISSN: 17521947 NLM ISO Abbreviation: J Med Case Rep Subsets: MEDLINE
    • Publication Information:
      Original Publication: [London] : BioMed Central, [2007-
    • Subject Terms:
      Superior Mesenteric Artery Syndrome*/surgery ; Superior Mesenteric Artery Syndrome*/diagnostic imaging ; Superior Mesenteric Artery Syndrome*/diagnosis ; Laparoscopy*; Humans ; Male ; Middle Aged ; Abdominal Pain/etiology ; Duodenostomy/methods ; Tomography, X-Ray Computed ; Treatment Outcome ; Vomiting/etiology ; Jejunostomy/methods ; Intestinal Obstruction/surgery ; Intestinal Obstruction/etiology ; Intestinal Obstruction/diagnostic imaging
    • Abstract:
      Background: Superior mesenteric artery syndrome is a rare condition that has only around 400 reported cases so far. Typically, the superior mesenteric artery branches off the abdominal aorta at 45° to create an aortomesenteric distance of 10-28 mm, with the duodenum passing through. However, if this aortomesenteric angle reduces to less than 25°, the third portion of the duodenum becomes compressed between the SMA and aorta, causing mechanical obstruction.
      Case Presentation: This case report aims to demonstrate the diagnostic difficulties and the laparoscopic management of a 52-year-old Indian male presenting with abdominal pain and vomiting, with associated weight loss. Imaging was further suggestive of high intestinal obstruction, and he was later found to have superior mesenteric artery syndrome.
      Conclusion: Taking into account a significant reduction in morbidity, we propose laparoscopic duodenojejunostomy to be the new procedure of choice for superior mesenteric artery syndrome.
      (© 2024. The Author(s).)
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    • Contributed Indexing:
      Keywords: Aortomesenteric angle; Case report; Laparoscopic duodenojejunostomy; SMA syndrome; Subacute bowel obstruction
    • Publication Date:
      Date Created: 20240822 Date Completed: 20240823 Latest Revision: 20240825
    • Publication Date:
      20240826
    • Accession Number:
      PMC11342525
    • Accession Number:
      10.1186/s13256-024-04703-z
    • Accession Number:
      39174989