Hanifa Hamdah, Alhussein Hussein, Mahmandar Lissa, Kadi Sara, Bitar Ousama, Alkhaled Mamdouh
Faculty of Medicine, University of Kalamoon, Al-Nabk, Syria.
Faculty of Medicine, University of Aleppo, Aleppo, Syria.
Int J Surg Case Rep. 2025 Jan;126:110645. doi: 10.1016/j.ijscr.2024.110645. Epub 2024 Nov 28.
Superior mesenteric artery (SMA) syndrome is a rare condition with a significant decrease in the angle between the SMA and the abdominal aorta.
A 16-year-old girl presented with abdominal pain, vomiting, weight loss, and loss of appetite. Family history included allergies to contrast media. Clinical examination revealed a distended abdomen with a severely dilated stomach. Imaging showed narrowing in the duodenum. Upper endoscopy confirmed the diagnosis, and gastrojejunostomy was performed successfully. Patient recovered well post-surgery and was discharged after two weeks with resolved symptoms.
SMA syndrome is a rare and serious condition, more common in women, young adults, and teenagers. Mental health support is crucial in managing SMA syndrome patients. Treatment involves CT scans for diagnosis, and options include conservative care or surgery, with success rates varying in studies.
Early diagnosis and intervention are crucial in managing superior mesenteric artery syndrome, as prompt treatment can significantly improve patient outcomes and prevent life-threatening complications. This case contributes to the literature by emphasizing the importance of considering SMA syndrome in differential diagnoses, particularly in young patients with non-specific gastrointestinal symptoms, thereby enhancing awareness and understanding of this rare condition.
肠系膜上动脉（SMA）综合征是一种罕见疾病，肠系膜上动脉与腹主动脉之间的夹角显著减小。
一名16岁女孩出现腹痛、呕吐、体重减轻和食欲不振。家族史包括对造影剂过敏。临床检查发现腹部膨隆，胃严重扩张。影像学检查显示十二指肠狭窄。上消化道内镜检查确诊后，成功实施了胃空肠吻合术。患者术后恢复良好，两周后症状缓解出院。
SMA综合征是一种罕见且严重的疾病，在女性、年轻人和青少年中更为常见。心理健康支持对SMA综合征患者的管理至关重要。治疗包括通过CT扫描进行诊断，治疗选择包括保守治疗或手术，不同研究中的成功率有所不同。
早期诊断和干预对于肠系膜上动脉综合征的管理至关重要，因为及时治疗可显著改善患者预后并预防危及生命的并发症。本病例通过强调在鉴别诊断中考虑SMA综合征的重要性，尤其是在有非特异性胃肠道症状的年轻患者中，为文献做出了贡献，从而提高了对这种罕见疾病的认识和理解。
