Zulekha Hospital successfully operated on Fatima who suffered from Superior Mesenteric Artery
Syndrome (SMAS), a rare gastrointestinal tract disease that causes chronic pain, vomiting, full body weakness and weight loss.
The vascular structures and mesentery twisted clockwise (whirlpool sign) at the abdominal midline, and superior mesenteric vein was located to the left of superior mesenteric artery
(Figure 1b, c).
Superior mesenteric artery
syndrome is an acute or chronic picture that occurs as a result of compression of the second or third part of the duodenum between the aorta and the upper part of SMA (7).
Superior mesenteric artery
(SMA) syndrome, also known as Wilkie's syndrome, was first described by Rokitansky in 1861.
(18) A >70% stenosis of the celiac or superior mesenteric artery
(SMA) is associated with a greater risk of having chronic mesenteric ischemia.
Linea et al., "Delayed-onset superior mesenteric artery
syndrome presenting as oesophageal peptic stricture," Case Reports in Gastroenterology, vol.
Gong, "Anatomical variations in the origins of the celiac axis and the superior mesenteric artery
: MDCT angiographic findings and their probable embryological mechanisms," European Radiology, vol.
Abdominal computed tomography revealed occlusion of the superior mesenteric artery
Previous reports have described the relationship between IE and the superior mesenteric artery
or femoral pseudoaneurysm [13, 14].
Nonocclusive mesenteric ischemia (NOMI) is an intestinal blood flow disorder without blockage of the main trunk of the mesenteric artery
. NOMI has few specific clinical symptoms and findings on medical examinations.
Review of images did not reveal bleeding from the superior mesenteric artery
. Review of previous CT performed 2 years ago, revealed an abnormal corkscrew vessel arising from the splenic hilum supplying a lipomatous lesion in the right iliac fossa.
A subsequent computed tomography angiography (CTA) documented severe segmental aortic stenosis arising before the origin of the upper mesenteric artery
and including the origin of renal arteries.
Here, we present a case of infected suprarenal aortic aneurysm with a nearly occluded celiac artery and superior mesenteric artery
treated using an endovascular technique to preserve collateral in the retroperitoneal space from the inferior mesenteric artery
for supplying visceral organs.
Volvulus occurs when bowel loops become twisted around the mesenteric artery
or its branches .
The angiogram showed negative findings in the thoracic aorta, pulmonary vessels, abdominal aorta, superior mesenteric artery
, inferior mesenteric artery
, internal iliac artery, external iliac artery, renal artery, and testicular artery, as well as their main branches.