Superior mesenteric artery syndrome caused by celiac axis compression syndrome: a case report and review of the literature.
Celiac axis compression syndrome (CACS) is a rare entity of mesenteric ischemia, secondary to inadequate blood supply to the intestine, resulting in weight loss because of postprandial abdominal pain. Superior mesenteric artery (SMA) syndrome is an uncommon cause of intestinal obstruction manifesting with epigastric pain, bilious vomiting, and postprandial discomfort. Although the coexistence of both syndromes is very rare and has been reported only in eight patients in the literature, the CACS as a rare etiology of SMA syndrome has not yet been reported. Herein, we describe an uncommon case of SMA syndrome secondary to the CACS. The 27-year-old woman presented with epigastric pain, postprandial vomiting, and rapid body weight loss. The diagnosis of SMA syndrome was made by hypotonic duodenography and multidetector computer tomographic angiography. The CACS was also suspected by multidetector computer tomographic angiography. Surgical intervention was performed and the presence of CACS was confirmed. Her symptoms subsided shortly after operation and she was in good health at 1-year follow-up.
Tseng
Chun-Kai
CK
Department of Emergency Medicine, China Medical University Hospital, Taichung, Taiwan.
Su
Wen-Ban
WB
Lai
Hsueh-Chou
HC
Chou
Jen-Wei
JW
Feng
Chun-Lung
CL
Peng
Cheng-Yuan
CY
Chen
Yung-Fang
YF
D000328:Adult; D002445:Celiac Artery / Q000000981:diagnostic imaging; D004108:Dilatation, Pathologic / Q000000981:diagnostic imaging / Q000209:etiology; D004378:Duodenal Diseases / Q000000981:diagnostic imaging / Q000209:etiology; D005260:Female; D006801:Humans; D007415:Intestinal Obstruction / Q000000981:diagnostic imaging / Q000209:etiology; D008641:Mesenteric Vascular Occlusion / Q000150:complications* / Q000000981:diagnostic imaging; D013478:Superior Mesenteric Artery Syndrome / Q000000981:diagnostic imaging / Q000209:etiology*; D014057:Tomography, X-Ray Computed