Superior mesenteric artery syndrome

Case contributed by Dr Hani Salam

Presentation

Young patient with history of progressive weight loss, recurrent vomiting, and postprandial epigastric pain.

Modality: X-ray

Frontal abdominal radiograph demonstrating paucity of small and large bowel gas with probable double bubble sign indicating proximal bowel obstruction.

Modality: Barium

Distended stomach, first and second part of duodenum with only small amount of contrast passed through the rest of the duodenum and proximal jejunum suggestive of obstruction at level of second part of duodenum.

Modality: CT

CT scan of the abdomen shows hugely distended stomach, first and second part of the duodenum, with transition zone at the origin of the SMA, confirming the diagnosis of SMA syndrome.

PlayAdd to Share

Case Information

rID: 7873
Case created: 19th Dec 2009
Last edited: 1st Jul 2016
Inclusion in quiz mode: Included

Updating… Please wait.
Loadinganimation

Alert accept

Error Unable to process the form. Check for errors and try again.

Alert accept Thank you for updating your details.