Zulekha Hospital successfully operated on 27 year-old female Fatimah who suffered from Superior
Mesenteric Artery Syndrome (SMAS) which is a rare gastrointestinal tract disease that causes chronic pain, vomiting, full body weakness and weight loss.
Superior
mesenteric artery syndrome (SMAS), which is also known as Wilkie's syndrome because it was described by Wilkie as chronic duodenal ileus in 1927 for the first time, is a life-threatening clinical picture that develops as a result of obstruction of the second or third part of the duodenum compressed between the aorta and superior mesenteric artery (1).
CT angiogram revealed reduction of aortomesenteric angle and aortomesenteric distance which were both consistent with superior
mesenteric artery syndrome.
Linea et al., "Delayed-onset superior
mesenteric artery syndrome presenting as oesophageal peptic stricture," Case Reports in Gastroenterology, vol.
The diagnosis of superior
mesenteric artery syndrome was entertained and confirmed by a barium meal and follow through (Figure 7).
NCS may also coincide with superior
mesenteric artery syndrome, which affects the duodenum and is also provoked by the abnormal angulation of the SMA [24].
Superior
mesenteric artery syndrome: CT and ultrasonography findings.
Clinical and radiological aspects of the superior
mesenteric artery syndrome. J Fla Med Assoc.
Ultrasound imaging in diagnosis of superior
mesenteric artery syndrome. J Intern Med.
The superior mesenteric artery was found to descend from the aorta at an angle of approximately 15[degrees], a finding consistent with superior
mesenteric artery syndrome. The patient then had an esophagogastroduodenoscopy performed on the second day of admission, which was significant for a proximal esophageal web, esophagitis, multiple ulcers in the antrum of the stomach, and a normal pylorus.
Superior
mesenteric artery syndrome (Wilkie syndrome) was excluded, as the level of obstruction demonstrated on the contrast study was beyond the midline and the history was not compatible.