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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
Superior mesenteric artery syndrome: A very rare condition, with diffcult diagnosis, and successful management
American Journal of Case Reports, Volume 12, Year 2011
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Description
Background: Superior mesenteric artery syndrome (SMAS) is a rare condition which is due to intermittent functional obstruction of the third part of the duodenum between the superior mesenteric artery and the vertebral column and aorta. Case Report: We are presenting a 45-year-old woman who presented with persistent vomiting with intermittent epigastric pain which was getting worse over the last eight years. She was misdiagnosed as gastro-oesophageal refux and gastritis on may occasions. Upper gastrointestinal series, endoscopy and biopsy were done followed by abdominal computed tomography (CT) to reach the diagnosis of SMAS. The diagnosis was challenging, and conservative management by medical therapy was not helpful so duodenojejunostomy was carried out, also Billroth's gastrectomy II was done as the antral mucosa showed moderate dysplasia and enteroanastomosis. Conclusions: The operation was successful and the patient was symptom-free in post operative follow up for one year. © The American Journal of Case Reports.
Authors & Co-Authors
Maatouk, Mohamed
United Kingdom, Weston-super-mare
Weston General Hospital
Monib, Sherif M.
United Kingdom, Watford
Watford General Hospital
Ahmed, Osama
Egypt, Kafr el Dawar
Kafr el Dawar General Hospital
Ismail, Ahmed
Egypt, Kafr el Dawar
Kafr el Dawar General Hospital
Mahrous, Ahmed
Egypt, Kafr el Dawar
Kafr el Dawar General Hospital
Shawky, Khaled Mohamed
Egypt, Kafr el Dawar
Kafr el Dawar General Hospital
Statistics
Citations: 6
Authors: 6
Affiliations: 3
Identifiers
Doi:
10.12659/AJCR.881911
e-ISSN:
19415923
Research Areas
Health System And Policy
Participants Gender
Female