title: Superior mesenteric artery syndrome: a rare etiology of upper intestinal obstruction in adults.
abstract: The superior mesenteric artery (SMA) syndrome is an atypical cause of high intestinal obstruction in adults. Formerly considered controversial, this syndrome has now been recognized as a real clinical entity which results from extrinsic compression of the third portion of the duodenum by reduction of the angle formed between the SMA and the aorta, usually favoured by rapid and dramatic weight loss. We report a case observed in a 25-year-old female. The abdominal scan provided the diagnosis. Laparoscopic duodenojejunostomy provided cure after failure of initial conservative treatment.
authors.affiliation: Department of Radiology, hôpital d'instruction des armées Desgenettes, Lyon, France. frlemoigne@aliceadsl.fr
authors.forename: F
authors.initials: F
authors.lastname: Le Moigne
authors.forename: J-L
authors.initials: JL
authors.lastname: Lamboley
authors.forename: T
authors.initials: T
authors.lastname: Vitry
authors.forename: A
authors.initials: A
authors.lastname: Stoltz
authors.forename: E
authors.initials: E
authors.lastname: Galoo
authors.forename: P
authors.initials: P
authors.lastname: Salamand
authors.forename: P
authors.initials: P
authors.lastname: Michel
authors.forename: P
authors.initials: P
authors.lastname: Farthouat
mesh_terms: D000328:Adult; D003287:Contrast Media; D004385:Duodenostomy; D005260:Female; D006801:Humans; D007415:Intestinal Obstruction / Q000209:etiology*; D007582:Jejunostomy; D010535:Laparoscopy; D013478:Superior Mesenteric Artery Syndrome / Q000175:diagnosis* / Q000601:surgery; D014057:Tomography, X-Ray Computed; D014839:Vomiting; D015431:Weight Loss
chemical_list: D003287:Contrast Media