SMA syndrome

Discussion:

Contrast follow-through shows markedly distended stomach and filling of the first and second parts of the duodenum.  An abrupt cut-off to contrast passage is seen in the third part of the duodenum.

CT with oral and intravenous contrast confirms that there is obstruction of the third part of the duodenum arguably due to a narrow angle between the SMA and the aorta.

These findings are consistent with SMA syndrome.

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