A Case Report on Superior Mesenteric Artery Syndrome
Sunil Dhakal, Sapana Bhandari, Ganga Sapkota, Ijendra Prajapati
Asian Journal of Case Reports in Surgery · pp. 661–665 · Published 7 Oct 2021
Abstract
Context: Superior mesenteric artery (SMA) syndrome first described by Rokitansky is a diagnostic dilemma for practicing clinicians. Due to commonality of symptoms often misdiagnosed. Barium follow through and Computed Tomography (CT) shows dilatation of second part of duodenum and compressed third part of duodenum between SMA and Aorta. Case Report: 15-year-old female presented with epigastric pain with vomiting, rapid weight loss and epigastric fullness on examination. CT revealed compressed third part of duodenum and dilated second part. Mobilization of duodenum with retrocolic side to side duodenojejunostomy was done. Conclusion: Superior mesenteric artery syndrome is difficult to diagnose. It is a life-threatening condition. Multidisciplinary approach is required to manage the case. Conservative treatment can be tried however surgery is treatment of choice.
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