Superior mesenteric artery syndrome managed laparoscopically: a case report.
J Med Case Rep
; 18(1): 391, 2024 Aug 23.
Article
in En
| MEDLINE
| ID: mdl-39174989
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.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Superior Mesenteric Artery Syndrome
/
Laparoscopy
Limits:
Humans
/
Male
/
Middle aged
Language:
En
Journal:
J Med Case Rep
Year:
2024
Document type:
Article
Affiliation country:
India
Country of publication:
United kingdom