Superior mesenteric artery syndrome

Case contributed by Gustavo Aguiar
Diagnosis probable

Presentation

Abdominal pain. Recurrent episodes of vomiting. Weight loss.

Patient Data

Age: 25 years
Gender: Female

Dilatation of the proximal duodenum and stomach due compression of the third part of duodenum between aorta and superior mesenteric artery.

Aortomesenteric angle - 20.8º

Aortomesenteric distance - 3.4 mm

Case Discussion

In the setting of abdominal pain, recurrent episodes of vomiting and weight loss, the tomographic findind of reduced aortomesenteric angle suggests superior mesenteric artery syndrome, particularly in young patients.

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