Alaradi Husain M, Juma Hasan R, Abdulnabi Zainab M, Isa Mohamed
Surgery, Salmaniya Medical Complex, Manama, BHR.
General Surgery, Salmaniya Medical Complex, Manama, BHR.
Cureus. 2022 Nov 14;14(11):e31484. doi: 10.7759/cureus.31484. eCollection 2022 Nov.
Small bowel obstruction has many etiologies, but superior mesenteric artery syndrome (SMAS) is among the rarest causes. It happens when the third part of the duodenum is compressed between the superior mesenteric artery and the abdominal aorta, preventing gastric content from passing through the small intestine. SMAS is a diagnosis of exclusion because it is atypical and needs a high index of suspicion. There is frequently a delay in diagnosis, leading to morbidity and mortality. We present a case of a young female who presented with symptoms of episodic abdominal pain and obstruction. A computed tomography scan revealed SMAS. She was admitted and treated conservatively with total parenteral nutrition for one week and intravenous fluids, and eventually, her bowel opened, and the condition resolved.
小肠梗阻有多种病因，但肠系膜上动脉综合征（SMAS）是最罕见的病因之一。当十二指肠第三部被肠系膜上动脉和腹主动脉压迫时，就会发生这种情况，从而阻止胃内容物通过小肠。SMAS是一种排除性诊断，因为它不典型，需要高度怀疑指数。诊断往往会延迟，导致发病率和死亡率。我们报告一例年轻女性病例，她表现出间歇性腹痛和梗阻症状。计算机断层扫描显示为SMAS。她入院后接受了一周的全胃肠外营养和静脉输液保守治疗，最终肠道通畅，病情缓解。
