Curr Health Sci J, vol. 42, no. 3, 2016

The Role of MSCT in Superior Mesenteric Artery Syndrome (SMAS)

[Case report]

SERBEZE KABASHI-MUQAJ(1), VESA KOTORI(2), LUANA CORINA LASCU(3), SIMONA BONDARI(3), ILIR AHMETGJEKAJ(1)


(1)Clinic of Radiology, UCCK, Prishtina, Kosova, Faculty of Medicine, Pristine University, Imaging Center Prima, Pristine, Kosova,
(2)Ministry of Justice, Department of Forensic Medicine, Prishtine, Kosova,
(3)University of Medicine and Pharmacy of Craiova, Romania


Abstract:

Superior mesenteric artery syndrome (SMAS) is a rare condition caused by compression of the third part of the duodenum between the superior mesenteric artery (SMA) and the aorta, causing symptoms of duodenal outflow obstruction. We report a case of superior mesenteric artery syndrome in a 48-year-old female associated with severe dehydration and vomiting resulting from duodenal compression that necessitated surgical treatment, undiagnosed for 14 years. The diagnosis was performed with MSCT. Diagnostic evaluation revealed compression of the third portion of the duodenum by the SMA with resultant proximal dilatation. The patient successfully had duodeno-jejunal anastomosis.


Keywords:
superior mesenteric artery syndrome (SMAS), MSCT, superior mesenteric artery, duodenum, aorta



Corresponding:
Ilir Ahmetgjekaj, Radiologist, Radiology Clinic, University Clinical Centre of Kosovo, Prishtina, Kosovo. Tel: 00377-44-111.926; e-mail: drilir@hotmail.com.


DOI 10.12865/CHSJ.42.03.11 - Download PDF