Presentation
Abdominal pain and weight loss.
Patient Data
The third part of duodenum is compressed between the aorta and superior mesenteric artery with dilatation of the proximal duodenum and stomach. Aortomesenteric distance and angle measuring 6mm and 20 degrees, respectively.
The gallbladder is not seen at anatomical location due to prior resection.
Case Discussion
Features on CT scan consistent with superior mesenteric artery syndrome.
Normally, the aortomesenteric angle and aortomesenteric distance are 28-65° and 10-34 mm, respectively. In SMA syndrome, both parameters are reduced, with values of 6° to 22° and 2 to 8 mm.