2012
DOI: 10.5811/westjem.2012.6.12762
|View full text |Cite
|
Sign up to set email alerts
|

An Uncommon Case of Abdominal Pain: Superior Mesenteric Artery Syndrome

Abstract: Superior mesenteric artery (SMA) syndrome is a rare cause of abdominal pain, nausea and vomiting that may be undiagnosed in patients presenting to the emergency department (ED). We report a 54-year-old male presenting to a community ED with abdominal pain and the subsequent radiographic findings.The patient’s computed tomgraphy (CT) of the abdomen and pelvis demonstrates many of the hallmark findings consistent with SMA syndrome, including; compression of the duodenum between the abdominal aorta and superior m… Show more

Help me understand this report

Search citation statements

Order By: Relevance

Paper Sections

Select...
2
1
1

Citation Types

0
16
0
5

Year Published

2014
2014
2023
2023

Publication Types

Select...
10

Relationship

0
10

Authors

Journals

citations
Cited by 20 publications
(21 citation statements)
references
References 5 publications
0
16
0
5
Order By: Relevance
“…It can show the dilated 1st and 2nd portion of duodenum and the 3-dimensional image of the aorta, SMA, and spine. In SMA syndrome, the angle between the aorta and SMA is decreased to 6–25° and a shortened aroto-mesenteric distance of 2–8 mm 11,12…”
Section: Discussionmentioning
confidence: 99%
“…It can show the dilated 1st and 2nd portion of duodenum and the 3-dimensional image of the aorta, SMA, and spine. In SMA syndrome, the angle between the aorta and SMA is decreased to 6–25° and a shortened aroto-mesenteric distance of 2–8 mm 11,12…”
Section: Discussionmentioning
confidence: 99%
“…Conservative initial treatment is recommended in all patients with SMA syndrome. This includes adequate nutrition, nasogastric decompression, and proper positioning of the patient after eating (i.e., left lateral decubitus, prone, or knee-tochest position) [2,5,7,8]. Enteral feeding using a double lumen nasojejunal tube passed distal to the obstruction under fluoroscopic assistance is an effective adjunct in treatment of patients with rapid severe weight loss and also eliminates the need for intravenous fluids and the risks associated with total parenteral nutrition [2].…”
Section: Discussionmentioning
confidence: 99%
“…При математической обработке данных МРТ-и КТ-флебографии определяли критерии аортомезентериальной и подвздошной венозной (вертеброартериальной) компрессии. Критерии аортомезентериальной компрессии включали в себя определение величины аортомезентери-ального угла (aortomesenteric angle, AMA) (нор-ма -28-65°) и величины аортомезентериальной дистанции (aortomesenteric distance, AMD) (нор-ма -10-34 мм) [6,7]. Критерии подвздошной венозной (вертеброартериальной) компрессии включали в себя определение величины нижне-го люмбарного лордозного угла (lower lumbar lordosis angle, LLLA) (норма -134,33-136,76°) и диаметра подвздошного венозного туннеля (diameter of the iliac vein tunnel, IVTD) (норма -4,18-4,50 мм) [8].…”
Section: материалы и методы исследованияunclassified