SMA SYNDROMEvascular compression of  the duodenum CASE DISCUSSION & LITERATURE REVIEW

Dr. Ravi P. Gadani; Dr. Kamal bansal; Dr.Biraju D. nimbark

Volume : V, Issue : XII, December - 2016

SMA SYNDROMEvascular compression of the duodenum CASE DISCUSSION & LITERATURE REVIEW

Dr. Ravi P. Gadani, Dr. Kamal Bansal, Dr. Biraju D. Nimbark

Abstract :

Introduction:?e SMA syndrome is a rare acquired vascular compression disorder in which acute angulation of SMA results in compression of third part of the duodenum leading to obstruction. ?e principal symptoms are upper abdominal distension, vomiting and epigastric pain. In this case report, we describe this syndrome in a young girl. Case presentation:We report a 16–year–old girl who presented with upper abdominal distension, vomiting with loss of weight. A diagnosis of SMA syndrome was made on CT scan abdomen and she went on to have a laparotomy, where a dilated stomach n duodenum proximal to origin of SMA. Duodenojejunostomy was performed in the patient .Conclusion:?e SMA syndrome is rare but should be taken into consideration in investigating cases of thin built female patients with a history of abdominal distension, vomiting, rapid weight loss and anemia. Diagnostic workup should include upper digestive tract endoscopy ,barium , ultrasonography and abdominal tomography. Treatment is surgical in most cases. Complications resulting from chronic malnutrition and electrolyte imbalance may occur but death is rare.