An Uncommon Case of Abdominal Pain: Superior Mesenteric Artery Syndrome
Superior mesenteric artery (SMA) syndrome is a rare cause of abdominal pain, nausea and vomiting that may be undiagnosed in patients presenting to the emergency department (ED). We report a 54-year-old male presenting to a community ED with abdominal pain and the subsequent radiographic findings.The...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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eScholarship Publishing, University of California
2012-12-01
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| Series: | Western Journal of Emergency Medicine |
| Subjects: | |
| Online Access: | http://escholarship.org/uc/item/8dv821bv |
| _version_ | 1818949986686074880 |
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| author | Brent Michael Felton Josh Michael White Michael Allen Racine |
| author_facet | Brent Michael Felton Josh Michael White Michael Allen Racine |
| author_sort | Brent Michael Felton |
| collection | DOAJ |
| description | Superior mesenteric artery (SMA) syndrome is a rare cause of abdominal pain, nausea and vomiting that may be undiagnosed in patients presenting to the emergency department (ED). We report a 54-year-old male presenting to a community ED with abdominal pain and the subsequent radiographic findings.The patient’s computed tomgraphy (CT) of the abdomen and pelvis demonstrates many of the hallmark findings consistent with SMA syndrome, including; compression of the duodenum between the abdominal aorta and superior mesenteric artery resulting in intestinal obstruction, dilation of the left renal vein, and gastric distension. Patients diagnosed with SMA syndrome have a characteristically short distance between the superior mesenteric artery and the aorta (usually 2–8 mm) in contrast to healthy patients (10–34 mm). Our patient’s aortomesenteric distance was measured to be approximately 4 mm. Furthermore, the measured angle between the superior mesenteric artery and the aorta is reduced in patients withSMA syndrome from a normal range of 28°–65° to a measurement between 6°–22°. Our patient’s aortomesenteric angle was difficult to measure secondary to poor sagittal reconstructions, but appears to be approximately 30°. Following radiographic evidence suggesting SMA syndrome together with our patient’s constellation of presenting symptoms, a diagnosis of SMA syndrome was made and the patient was admitted to the general surgery service. However, our patient decided to leave against medical advice owing to improvement of his symptoms following the emptying of two liters of gastric contents via nasogastric tube evacuation. |
| first_indexed | 2024-12-20T09:11:25Z |
| format | Article |
| id | doaj.art-f1b750ca462140f6a541df9a497cd05d |
| institution | Directory Open Access Journal |
| issn | 1936-900X 1936-9018 |
| language | English |
| last_indexed | 2024-12-20T09:11:25Z |
| publishDate | 2012-12-01 |
| publisher | eScholarship Publishing, University of California |
| record_format | Article |
| series | Western Journal of Emergency Medicine |
| spelling | doaj.art-f1b750ca462140f6a541df9a497cd05d2022-12-21T19:45:33ZengeScholarship Publishing, University of CaliforniaWestern Journal of Emergency Medicine1936-900X1936-90182012-12-01136501502An Uncommon Case of Abdominal Pain: Superior Mesenteric Artery SyndromeBrent Michael FeltonJosh Michael WhiteMichael Allen RacineSuperior mesenteric artery (SMA) syndrome is a rare cause of abdominal pain, nausea and vomiting that may be undiagnosed in patients presenting to the emergency department (ED). We report a 54-year-old male presenting to a community ED with abdominal pain and the subsequent radiographic findings.The patient’s computed tomgraphy (CT) of the abdomen and pelvis demonstrates many of the hallmark findings consistent with SMA syndrome, including; compression of the duodenum between the abdominal aorta and superior mesenteric artery resulting in intestinal obstruction, dilation of the left renal vein, and gastric distension. Patients diagnosed with SMA syndrome have a characteristically short distance between the superior mesenteric artery and the aorta (usually 2–8 mm) in contrast to healthy patients (10–34 mm). Our patient’s aortomesenteric distance was measured to be approximately 4 mm. Furthermore, the measured angle between the superior mesenteric artery and the aorta is reduced in patients withSMA syndrome from a normal range of 28°–65° to a measurement between 6°–22°. Our patient’s aortomesenteric angle was difficult to measure secondary to poor sagittal reconstructions, but appears to be approximately 30°. Following radiographic evidence suggesting SMA syndrome together with our patient’s constellation of presenting symptoms, a diagnosis of SMA syndrome was made and the patient was admitted to the general surgery service. However, our patient decided to leave against medical advice owing to improvement of his symptoms following the emptying of two liters of gastric contents via nasogastric tube evacuation.http://escholarship.org/uc/item/8dv821bvEmergency medicineabominal pain |
| spellingShingle | Brent Michael Felton Josh Michael White Michael Allen Racine An Uncommon Case of Abdominal Pain: Superior Mesenteric Artery Syndrome Western Journal of Emergency Medicine Emergency medicine abominal pain |
| title | An Uncommon Case of Abdominal Pain: Superior Mesenteric Artery Syndrome |
| title_full | An Uncommon Case of Abdominal Pain: Superior Mesenteric Artery Syndrome |
| title_fullStr | An Uncommon Case of Abdominal Pain: Superior Mesenteric Artery Syndrome |
| title_full_unstemmed | An Uncommon Case of Abdominal Pain: Superior Mesenteric Artery Syndrome |
| title_short | An Uncommon Case of Abdominal Pain: Superior Mesenteric Artery Syndrome |
| title_sort | uncommon case of abdominal pain superior mesenteric artery syndrome |
| topic | Emergency medicine abominal pain |
| url | http://escholarship.org/uc/item/8dv821bv |
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