Unveiling the Uncommon: Superior Mesenteric Artery Syndrome Presenting As Gastritis

Overview

Journal Cureus

Specialty Biomedical Engineering

Date 2023 Jul 24

PMID 37485219

Authors

Noman Salih

Khalid S Baig

Izhar Ullah

Numan Ghani

Yamna Ali

Shahid Ali

Shehzad A Khan

Muhammad Ihtisham

Affiliations

Soon will be listed here.

Abstract

Superior mesenteric artery syndrome (SMAS) is a specific type of duodenal obstruction marked by a blockage of the inferior part of the duodenum as a result of compression between the superior mesenteric artery (SMA) and the aorta. Depletion of the mesenteric fatty pad causes this complication. In the current study, we describe a case of SMAS involving a 36-year-old lady who presented with postprandial pain, weight loss, and hematemesis. The patient was investigated for chronic pancreatitis, celiac disease, and intestinal tuberculosis due to a vague presentation, which yielded normal results. Subsequently, esophagogastroduodenostomy (EGD) was performed during a follow-up visit, which revealed erosive gastritis and antral inflammation. The patient was eventually given the go-ahead for a CT scan which led to the diagnosis of SMAS leading to erosive gastritis and distal duodenal obstruction.

Citing Articles

Superior mesenteric artery syndrome misdiagnosed and preceded by -induced gastritis: a rare diagnosis with misleading features.

Ismail S, Hasan M, Aljasem M, Darkaznli M, Habib A, Deeb H Ann Med Surg (Lond). 2024; 86(12):7322-7324.

PMID: 39649938 PMC: 11623854. DOI: 10.1097/MS9.0000000000002136.

References

Merrett N, Wilson R, Cosman P, Biankin A . Superior mesenteric artery syndrome: diagnosis and treatment strategies. J Gastrointest Surg. 2008; 13(2):287-92. DOI: 10.1007/s11605-008-0695-4. View

Inal M, Unal Daphan B, Karadeniz Bilgili M . Superior mesenteric artery syndrome accompanying with nutcracker syndrome: a case report. Iran Red Crescent Med J. 2015; 16(10):e14755. PMC: 4329746. DOI: 10.5812/ircmj.14755. View

Zadegan F, Lenoir T, Drain O, Dauzac C, Leroux R, Morel E . [Superior mesenteric artery syndrome following correction of spinal deformity: case report and review of the literature]. Rev Chir Orthop Reparatrice Appar Mot. 2007; 93(2):181-5. DOI: 10.1016/s0035-1040(07)90222-6. View

Tseng C, Su W, Lai H, Chou J, Feng C, Peng C . Superior mesenteric artery syndrome caused by celiac axis compression syndrome: a case report and review of the literature. Eur J Gastroenterol Hepatol. 2008; 20(6):578-82. DOI: 10.1097/MEG.0b013e3282f172fa. View

Laffont I, Bensmail D, Rech C, Prigent G, Loubert G, Dizien O . Late superior mesenteric artery syndrome in paraplegia: case report and review. Spinal Cord. 2002; 40(2):88-91. DOI: 10.1038/sj.sc.3101255. View

Barnes J, Lee M . Superior mesenteric artery syndrome in an intravenous drug abuser after rapid weight loss. South Med J. 1996; 89(3):331-4. DOI: 10.1097/00007611-199603000-00015. View

Singal R, Sahu P, Goel M, Gupta S, Gupta R, Gupta A . Superior mesenteric artery syndrome: A case report. N Am J Med Sci. 2012; 2(8):392-4. PMC: 3339065. DOI: 10.4297/najms.2010.2392. View

Makary M, Rajan A, Aquino A, Chamarthi S . Clinical and Radiologic Considerations for Idiopathic Superior Mesenteric Artery Syndrome. Cureus. 2018; 9(11):e1822. PMC: 5755943. DOI: 10.7759/cureus.1822. View

Gebhart T . Superior mesenteric artery syndrome. Gastroenterol Nurs. 2015; 38(3):189-93. DOI: 10.1097/SGA.0000000000000107. View

10.

Goitein D, Gagne D, Papasavas P, Dallal R, Quebbemann B, Eichinger J . Superior mesenteric artery syndrome after laparoscopic Roux-en-Y gastric bypass for morbid obesity. Obes Surg. 2004; 14(7):1008-11. DOI: 10.1381/0960892041719626. View

11.

Lim J, Duke G, Eachempati S . Superior mesenteric artery syndrome presenting with acute massive gastric dilatation, gastric wall pneumatosis, and portal venous gas. Surgery. 2003; 134(5):840-3. DOI: 10.1016/s0039-6060(02)21677-3. View

12.

RECKLER J, BRUCK H, Munster A, Curreri P, PRUITT Jr B . Superior mesenteric artery syndrome as a consequence of burn injury. J Trauma. 1972; 12(11):979-85. DOI: 10.1097/00005373-197211000-00008. View

13.

Fuhrman M, Felig D, Tanchel M . Superior mesenteric artery syndrome with obstructing duodenal bezoar. Gastrointest Endosc. 2003; 57(3):387. DOI: 10.1067/mge.2003.91. View

14.

Shukla R, Pathak R . Superior mesenteric artery syndrome: case report. Nepal Med Coll J. 2008; 10(2):144-5. View

15.

SOURS J, VORHAUS L . Superior mesenteric artery syndrome in anorexia nervosa: a case report. Am J Psychiatry. 1981; 138(4):519-20. DOI: 10.1176/ajp.138.4.519. View

16.

Lippl F, Hannig C, Weiss W, Allescher H, Classen M, Kurjak M . Superior mesenteric artery syndrome: diagnosis and treatment from the gastroenterologist's view. J Gastroenterol. 2002; 37(8):640-3. DOI: 10.1007/s005350200101. View