Superior mesenteric artery embolus.

We have presented a case of SMA embolization with early diagnosis and successful embolectomy. A high index of suspicion is necessary, since the relative paucity of early signs and symptoms often belies the gravity of the situation. Prompt angiography can corroborate the diagnosis and allow expeditious laparotomy. Although some authors have advocated nonoperative management of this problem, we believe a surgical approach offers the best chance for a successful resolution and for preventing devastating sequelae.