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Malaysian Journal of Medical Sciences
School of Medical Sciences, Universiti Sains Malaysia
ISSN: 1394-195X
Vol. 24, No. 3, 2017, pp. 96-100
Bioline Code: mj17040
Full paper language: English
Document type: Case Report
Document available free of charge

Malaysian Journal of Medical Sciences, Vol. 24, No. 3, 2017, pp. 96-100

 en Superior Mesenteric Artery Syndrome in association with Abdominal Tuberculosis: An Eye Opener
Bhatt, Shuchi; Mishra, Biswajit; Tandon, Anupama; Manchanda, Smita & Parthsarathy, G


  Superior Mesenteric Artery Syndrome (SMAS) is a rare clinical entity presenting as acute or chronic upper gastrointestinal obstruction. It occurs due to compression of third part of duodenum between abdominal aorta and overlying superior mesenteric artery caused by a decrease in angle between the two vessels. Rapid loss of retroperitoneal fat, in conditions leading to severe weight loss is the main factor responsible for this disorder. Superior mesenteric artery syndrome in association with abdominal tuberculosis has not been reported earlier to the best of our knowledge. Therefore, an unknown cause (SMAS) of upper gastrointestinal obstruction in a patient of abdominal tuberculosis is being presented for the first time through this case report. An imaging diagnosis of SMAS was made on contrast enhanced CT abdomen which also confirmed the clinical suspicion of abdominal tuberculosis in the patient. The patient was managed conservatively and recovered without requiring any surgical intervention for the obstructive symptoms.

superior mesenteric artery syndrome; Wilkie’s syndrome; mesenteric root syndrome; intermittent aorto-mesenteric occlusion; duodenal obstruction

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