Jayakar Sudhir, Mogekar Smitha
General Surgery, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Dr D. Y. Patil Vidyapeeth, Pune, IND.
Cureus. 2024 Jul 1;16(7):e63572. doi: 10.7759/cureus.63572. eCollection 2024 Jul.
Superior mesenteric artery (SMA) syndrome is a rare disease in which the third part of the duodenum between the SMA and the abdominal aorta is compressed, leading to small bowel obstruction. Treatment is usually conservative, such as parenteral and nasojejunal nutrition. The pathophysiology includes loss of the retroperitoneal fat layer and subsequent duodenal compression. We present a 53-year-old malnourished female patient who came with complaints of vomiting, constipation, abdominal pain, and distension for four days. This article highlights the diagnostic challenges associated with SMA syndrome and emphasizes the importance of early diagnosis and intervention.
肠系膜上动脉(SMA)综合征是一种罕见疾病,其中肠系膜上动脉与腹主动脉之间的十二指肠第三部分受到压迫,导致小肠梗阻。治疗通常是保守的,如肠外营养和鼻空肠营养。病理生理学包括腹膜后脂肪层缺失及随后的十二指肠受压。我们报告一名53岁营养不良的女性患者,她因呕吐、便秘、腹痛和腹胀四天前来就诊。本文强调了与SMA综合征相关的诊断挑战,并强调了早期诊断和干预的重要性。