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Case Report
Superior mesenteric artery syndrome: Which treatment to be undertaken
1 MD, Resident in Visceral Surgery Department II, Mohammed V Training Military Hospital, Mohammed V University, Faculty of Medicine and Pharmacy, Rabat, Morocco
2 Professor, Visceral Surgery Department II, Mohammed V Training Military Hospital, Mohammed V University, Faculty of Medicine and Pharmacy, Rabat, Morocco
3 Professor, Chief of Visceral Surgery Department II, Mohammed V Training Military Hospital, Mohammed V University, Faculty of Medicine and Pharmacy, Rabat, Morocco
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Prosper Nsengiyumva
MD, Resident in Visceral Surgery Department II, Mohammed V Training Military Hospital, Mohammed V University, Faculty of Medicine and Pharmacy, Postal Code: 10045, Rabat,
Morocco
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Article ID: 100050S05PN2020
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How to cite this article
Nsengiyumva P, Anajjar M, Fadili A, Elhjouji A, Ehrichiou A, Ait Ali A. Superior mesenteric artery syndrome: Which treatment to be undertaken. Edorium J Surg 2020;7:100050S05PN2020.ABSTRACT
Introduction: Superior mesenteric artery syndrome is an extrinsic compression of the third duodenal portion by the clamp formed by the aorta and the superior mesenteric artery consequentially to the loss of perivascular fatty tissue.
Case Report: We report a case of an old lady followed for Helicobacter pylori gastritis who was admitted in emergency room for postprandial vomiting, abdominal pain with hemodynamic instability and skin folds of dehydration. Biological assessment revealed severe hydroelectrolytic disorders, very low fat balance. Computer tomography (CT) scan requested discovered a significant reduction in space and aorto-mesenteric angle. After medical treatment during three days, the patient has undergone laparotomic gastro-entero-anastomosis with best immediate postoperative evolution. The late postoperative was marked by gastroparesis and cardiovascular complication.
Conclusion: The superior mesenteric syndrome is a rare entity. Abdominal CT scan is sufficient for diagnosis and no consensus was reached with regard to its management.
Keywords: Aorta, Duodenal extrinsic compression, Gastro-entero-anastomosis, Superior mesenteric artery
SUPPORTING INFORMATION
Author Contributions:
Prosper Nsengiyumva - Drafting the article, Final approval of the version to be published
Mohammed Anajjar - Acquisition of data, Revising it critically for important intellectual content, Final approval of the version to be published
Aziz Fadili - Analysis of data, Revising it critically for important intellectual content, Final approval of the version to be published
Abderrahman Elhjouji - Analysis of data, Revising it critically for important intellectual content, Final approval of the version to be published
Abdelkader Ehrichiou - Revising it critically for important intellectual content, Final approval of the version to be published
Abdelmounaim Ait Ali - Substantial contributions to conception and design, Revising it critically for important intellectual content, Final approval of the version to be published
Guaranter of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2020 Prosper Nsengiyumva et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
