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Case report
peer-reviewed

Superior Mesenteric Artery Syndrome: The Dark Side of Weight Loss



Abstract

Superior mesenteric artery (SMA) syndrome is a rare cause of small bowel obstruction (SBO) resulting from compression of the duodenum by the SMA. Patients at risk of developing SMA syndrome include those who have experienced rapid weight loss from chronic illnesses, malignancy, bariatric surgery, eating disorders, burns, trauma, or substance abuse. We present the case of a 54-year-old cachectic female patient who presented with sudden onset nausea, vomiting, and severe epigastric pain. Imaging studies revealed distention of the stomach and proximal portion of the duodenum with abrupt narrowing of the third part of the duodenum consistent with SMA syndrome. A laparoscopy confirmed the diagnosis and duodenojejunostomy resulted in resolution of the symptoms.



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Case report
peer-reviewed

Superior Mesenteric Artery Syndrome: The Dark Side of Weight Loss


Author Information

Sakshi Sahni Corresponding Author

Department of Medicine, University of Illinois at Chicago College of Medicine

Malan Shiralkar

Department of Medicine, University of Illinois at Chicago College of Medicine

Safra Mohamed

Department of Mediine, University of Illinois at Chicago College of Medicine

Robert Carroll

Department of Medicine, University of Illinois, Chicago College of Medicine

Barbara Jung

Department of Medicine, University of Illinois, Chicago College of Medicine

Ron Gaba

Department of Radiology, University of Illinois at Chicago College of Medicine

Cemal Yazici

Department of Medicine, University of Illinois, Chicago College of Medicine


Ethics Statement and Conflict of Interest Disclosures

Human subjects: Consent was obtained by all participants in this study. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work.


Case report
peer-reviewed

Superior Mesenteric Artery Syndrome: The Dark Side of Weight Loss


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Case report
peer-reviewed

Superior Mesenteric Artery Syndrome: The Dark Side of Weight Loss

Sakshi Sahni">Sakshi Sahni , Malan Shiralkar">Malan Shiralkar, Safra Mohamed">Safra Mohamed, Robert Carroll">Robert Carroll, Barbara Jung">Barbara Jung, Ron Gaba">Ron Gaba, Cemal Yazici">Cemal Yazici

  • Author Information
    Sakshi Sahni Corresponding Author

    Department of Medicine, University of Illinois at Chicago College of Medicine

    Malan Shiralkar

    Department of Medicine, University of Illinois at Chicago College of Medicine

    Safra Mohamed

    Department of Mediine, University of Illinois at Chicago College of Medicine

    Robert Carroll

    Department of Medicine, University of Illinois, Chicago College of Medicine

    Barbara Jung

    Department of Medicine, University of Illinois, Chicago College of Medicine

    Ron Gaba

    Department of Radiology, University of Illinois at Chicago College of Medicine

    Cemal Yazici

    Department of Medicine, University of Illinois, Chicago College of Medicine


    Ethics Statement and Conflict of Interest Disclosures

    Human subjects: Consent was obtained by all participants in this study. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work.

    Acknowledgements


    Article Information

    Published: November 18, 2017

    DOI

    10.7759/cureus.1859

    Cite this article as:

    Sahni S, Shiralkar M, Mohamed S, et al. (November 18, 2017) Superior Mesenteric Artery Syndrome: The Dark Side of Weight Loss. Cureus 9(11): e1859. doi:10.7759/cureus.1859

    Publication history

    Received by Cureus: June 13, 2017
    Peer review began: June 28, 2017
    Peer review concluded: November 15, 2017
    Published: November 18, 2017

    Copyright

    © Copyright 2017
    Sahni et al. This is an open access article distributed under the terms of the Creative Commons Attribution License CC-BY 3.0., which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

    License

    This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Abstract

Superior mesenteric artery (SMA) syndrome is a rare cause of small bowel obstruction (SBO) resulting from compression of the duodenum by the SMA. Patients at risk of developing SMA syndrome include those who have experienced rapid weight loss from chronic illnesses, malignancy, bariatric surgery, eating disorders, burns, trauma, or substance abuse. We present the case of a 54-year-old cachectic female patient who presented with sudden onset nausea, vomiting, and severe epigastric pain. Imaging studies revealed distention of the stomach and proximal portion of the duodenum with abrupt narrowing of the third part of the duodenum consistent with SMA syndrome. A laparoscopy confirmed the diagnosis and duodenojejunostomy resulted in resolution of the symptoms.



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Create a free account to continue reading this article.

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Sakshi Sahni

Department of Medicine, University of Illinois at Chicago College of Medicine

For correspondence:
sahnisakshi@gmail.com

Malan Shiralkar

Department of Medicine, University of Illinois at Chicago College of Medicine

Safra Mohamed

Department of Mediine, University of Illinois at Chicago College of Medicine

Robert Carroll

Department of Medicine, University of Illinois, Chicago College of Medicine

Barbara Jung

Department of Medicine, University of Illinois, Chicago College of Medicine

Ron Gaba

Department of Radiology, University of Illinois at Chicago College of Medicine

Cemal Yazici

Department of Medicine, University of Illinois, Chicago College of Medicine

Sakshi Sahni

Department of Medicine, University of Illinois at Chicago College of Medicine

For correspondence:
sahnisakshi@gmail.com

Malan Shiralkar

Department of Medicine, University of Illinois at Chicago College of Medicine

Safra Mohamed

Department of Mediine, University of Illinois at Chicago College of Medicine

Robert Carroll

Department of Medicine, University of Illinois, Chicago College of Medicine

Barbara Jung

Department of Medicine, University of Illinois, Chicago College of Medicine

Ron Gaba

Department of Radiology, University of Illinois at Chicago College of Medicine

Cemal Yazici

Department of Medicine, University of Illinois, Chicago College of Medicine