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Published: 2024-03-29
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DOI: https://doi.org/10.52852/tcncyh.v175i2.2233
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Vol. 175 No. 2 (2024)
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Sơn, T. Q., Học, T. H., & Kiên, Đỗ T. (2024). 29. Duodenal obstruction caused by superior mesenteric artery syndrome: Case report and literature review. Journal of Medical Research, 175(2), 248-254. https://doi.org/10.52852/tcncyh.v175i2.2233

29. Duodenal obstruction caused by superior mesenteric artery syndrome: Case report and literature review

Tran Que Son, Tran Hieu Hoc, Do Trung Kien

Main Article Content

Abstract

Superior mesenteric artery syndrome is a rare pathology caused by the compressed third part of the duodenum between the superior mesenteric artery and the abdominal aorta. We report the case of a 44-year-old male patient admitted to the hospital with symptoms such as vomiting and abdominal pain. Computed tomography of the abdomen showed that the stomach, second and third part of the duodenum were enlarged, and the transition point is next to the superior mesenteric artery. The angle created by the superior mesenteric artery and aorta through two scans was 16o and 20o, respectively. Due to the failure of initial attempts at conservative treatment, the patient underwent laparotomy and duodenojejunostomy with complete relief of symptoms with a 16 cm long incision. Patient was discharged from the hospital on the 8th days after laparotomy without complications. Superior mesenteric artery syndrome is a rare but dangerous condition in patients presenting with duodenal obstruction. Computed tomography plays an essential role in the diagnosis of this pathology.

Article Details

Keywords

SMA syndrome, intestinal obstruction, duodenojejunostomy, syndrome

References

1. Pottorf BJ, Husain FA, Hollis HW, Jr., Lin E. Laparoscopic management of duodenal obstruction resulting from superior mesenteric artery syndrome. JAMA Surg. 2014; 149(12): 1319-1322.
2. So CY, Chan KY, Au HY, Chan ML, Lai T. Superior mesenteric artery (SMA) syndrome: an unusual cause of intestinal obstruction in palliative care. Ann Palliat Med. 2017; 6(1): 91-93.
3. Asbah M, Shrateh ON, Musleh A, Abbadi K, Nofal M, Tarifi S. Superior mesenteric artery syndrome in a 30-year-old male patient: A case report and literature review. Int J Surg Case Rep. 2023;106:108267.
4. N S, Jhanwar A, Singh N. Superior Mesenteric Artery (SMA) Syndrome With Enterocutaneous Fistula in a Young Woman: A Rare Association. Cureus. 2023; 15(5): e39696.
5. Jonas JP, Rossler F, Ghafoor S, et al. Surgical therapy of celiac axis and superior mesenteric artery syndrome. Langenbecks Arch Surg. 2023; 408(1):59.
6. Đinh Văn Chiến, Hương NV. Hội chứng động mạch mạc treo tràng trên hiếm gặp được phẫu thuật nội soi hoàn toàn nối tá hỗng tràng bằng máy cắt nối thẳng tại Bệnh viện Hữu nghị đa khoa Nghệ An. Tạp chí Y học Lâm sàng -BV TW Huế. 2022; 80: 95 - 100.
7. Phạm Đức Huấn, Trần Bảo Long, Trần Ngọc Dũng, Đoàn Tiến Lưu, Dũng LQ. Hội chứng động mạch mạc treo tràng trên: nhân một trường hợp và điểm lại y văn. Tạp chí Y học thực hành. 2019; 1113: 282 - 285.
8. Wyten R, Kelty CJ, Falk GL. Laparoscopic duodenojejunostomy for the treatment of superior mesenteric artery (SMA) Syndrome: case series. J Laparoendosc Adv Surg Tech A. 2010; 20(2): 173-176.
9. Sabry A, Shaalan R, Kahlin C, Elhoofy A. Superior Mesenteric Artery Syndrome Managed with Laparoscopic Duodenojejunostomy. Minim Invasive Surg. 2022; 2022: 4607440.
10. Oka A, Awoniyi M, Hasegawa N, et al. Superior mesenteric artery syndrome: Diagnosis and management. World J Clin Cases. 2023; 11(15): 3369-3384.
11. Aldagher A, Almasri R, Mahmoud J. Superior mesenteric artery syndrome in an 8-year-old boy: a case report. J Med Case Rep. 2023; 17(1): 343.
12. Ahn TY, Han JB, Bae JY, Woo SH. Superior mesenteric artery syndrome in a patient with fibrodysplasia ossificans progressiva. Bone Rep. 2023; 19: 101702.
13. Khanal B, Panthi S, Bhattarai R, et al. Superior mesenteric artery syndrome mimicking gastric outlet obstruction: a case report and a literature review. Ann Med Surg (Lond). 2023; 85(4): 939-942.
14. Danushka PGN, Jayasinghe R, Wijemanne A. Superior mesenteric artery syndrome treatment strategies: A case report. SAGE Open Med Case Rep. 2023; 11:2050313X231184587.
15. Diab S, Hayek F. Combined Superior Mesenteric Artery Syndrome and Nutcracker Syndrome in a Young Patient: A Case Report and Review of the Literature. Am J Case Rep. 2020; 21:e922619.
16. England J, Li N. Superior mesenteric artery syndrome: A review of the literature. J Am Coll Emerg Physicians Open. 2021; 2(3): e12454.
17. Isono H, Nakanishi K. A case of superior mesenteric artery syndrome characterized by deep forward bending posture in a cross-legged position on the floor. Clin Case Rep. 2023; 11(4): e7242.
18. Castro BN, Ferreira AR, Graca S, Oliveira M. Combined superior mesenteric artery syndrome and nutcraker syndrome presenting as acute pancreatitis: a case report. J Vasc Bras. 2023; 22:e20220161.
19. Caterine S, Patil NS, Takrouri H, et al. Understanding the diagnosis of superior mesenteric artery syndrome: analysis of the location of duodenal impression on upper gastrointestinal studies. Pediatr Radiol. 2023; 53(13): 2633-2641.
20. Welch B, Schaal A, O’Shea TF, Cantu R. Superior Mesenteric Artery Syndrome: A Community Hospital Case Series. Case Rep Vasc Med. 2021; 2021: 4033088.
21. Shen Y, Yang T, Meng W, Wang Z. Surgical Intervention Could Relieve Obstruction-Related Symptoms of Refractory Superior Mesenteric Artery Syndrome: Long-Term Follow-up Results. Obes Surg. 2023; 33(4): 1073-1082.