superior mesenteric artery syndrome


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su·pe·ri·or mes·en·ter·ic ar·ter·y syn·drome

vomiting believed to be secondary to compression of the duodenum by the superior mesenteric artery; associated with rapid weight loss.
Synonym(s): Wilkie disease

su·pe·ri·or mes·en·ter·ic ar·ter·y syn·drome

vomiting believed to be secondary to compression of the duodenum by the superior mesenteric artery; associated with rapid weight loss.
Synonym(s): Wilkie disease

superior mesenteric artery syndrome

An uncommon condition caused by compression of the superior mesenteric artery, with obstruction of the 3rd portion of the duodenum Etiology Loss of cushioning regional adipose tissues that maintain an appropriate arterial angle, seen in excess weight loss, rapid growth in children without corresponding gain of weight, in those with an asthenic habitus, or in Pts fixed in a hyperextended position by spinal injury or surgery Clinical Postprandial epigastric pain, distension, nausea, abdominal cramps, weight loss Diagnosis Distension of proximal duodenum by barium studies and narrowing of angle between the aorta and SMA by aortography or sonography Management SMAS is a diagnosis of exclusion that may respond to conservative therapy–eg, adoption of a postprandial knee-chest position, smaller meals, elemental diet.

Superior mesenteric artery syndrome

A condition in which a person vomits after meals due to blockage of the blood supply to the intestine.
Mentioned in: Anorexia Nervosa

Wilkie,

David P.D., Scottish surgeon, 1882-1938.
Wilkie artery - the right colic artery when it occasionally crosses the duodenum.
Wilkie disease - partial or complete block of the superior mesenteric artery. Synonym(s): superior mesenteric artery syndrome
Wilkie syndrome
References in periodicals archive ?
The causes of superior mesenteric artery syndrome include anatomic conditions influencing vascular angle and various psychiatric and physiologic disorders leading to rapid weight loss (4, 8).
Superior mesenteric artery syndrome may present acutely or chronically.
Symptoms of superior mesenteric artery syndrome are non-specific.
Barium radiography is also used for the diagnosis of superior mesenteric artery syndrome but it is non-specific since the findings may also be present in case of megaduodenum.6
Baker, "Late presentation of superior mesenteric artery syndrome following scoliosis surgery: a case report," Journal of Medical Case Reports, vol.
Modlin, "Superior mesenteric artery syndrome following ileal J-pouch anal anastomosis.
Valdes, "Superior mesenteric artery syndrome," Journal of the American College of Surgeons, vol.
Coker, "Superior mesenteric artery syndrome: a rare cause of intestinal obstruction.
Superior mesenteric artery syndrome as a consequence of burn injury.
(11.) Chin LW Chou MC, Wang HP Ultrasonography diagnosis of superior mesenteric artery syndrome in the ED.
Superior mesenteric artery syndrome in pediatric orthopedic
Superior mesenteric artery syndrome in a child with brain injury.

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