Pediatr. praxi. 2014;15(6):371-373
A rare etiology of upper intestinal obstruction in children - superior mesenteric artery syndrome
- 1 Dětská klinika LF UP a FN v Olomouci
- 2 Chirurgická klinika LF UP a FN v Olomouci
- 3 Radiologická klinika LF UP a FN v Olomouci
Superior mesenteric artery syndrome (SMAS) is rare condition that usually presents with symptoms of upper gastrointestinal obstruction
due to the compression of the third portion of duodenum between the abdominal aorta and the overlying superior mesenteric
artery. In children SMAS usually presents more acutely than chronically and conservative management with nutritional support has
usually good success. Surgical intervention should be reserved for patients refractory to medical therapy. The authors describe a case of
a 18-year-old girl with two days history of epigastric abdominal pain, nausea and postprandial vomiting. Computed tomography scans
revealed acute dilatation of stomach and duodenum due to superior mesenteric artery syndrome. Conservative management involving
nasogastric tube placement for duodenal and gastric decompression, maintenance of the fluid and elektrolyte balance and nutritional
support was successful.
Keywords: superior mesenteric artery syndrome (SMAS), duodenal obstruction, children
Published: December 16, 2014 Show citation
References
- Burrington JD, Wayne ER. Obstruction of the duodenum by the superior mesenteric artery - does it exist in children? J Pediatr Surg 1974; 9: 733-741.
Go to original source... 
Go to PubMed... - Biank V, Werlin S. Superior mesenteric artery syndrome in children: a 20-year experience. J Pediatr Gastroenetrol Nutr 2006; 42: 522-525. Go to original source... Go to PubMed...
- Scovell S, Hamdan A. Superior mesenteric artery syndrome. UpToDate 2014.
- Kurbegov A, Grabb B, Bealer J. Superior mesenteric artery syndrome in a 16-year-old with bilious emesis. Curr Opin Pediatr 2010; 22: 664-667. Go to original source... Go to PubMed...
- Le Moigne F, Lamboley J-L, Vitry T, et al. Superior mesenteric artery syndrome: a rare etiology of upper intestinal obstruction in adults. Gastroenterol Clin Biol 2010; 34: 403-406. Go to original source... Go to PubMed...
- Boráňová S, Žáčik M. Syndrom arteria mesenterialis superior. Pediatr Praxi 2012; 13(6): 407-408.
- Válková L. Syndrom arteria mesenterica superior - syndrom Wilkie. Interní Med 2011; 13(9): 353-354.
- Havlíčeková Z, Mikler J, Pročková J, et al. Syndróm artéria mesenterialis superior u 15-ročnej pacientky po operácii skoliózy. Pediatria (Bratisl.) 2008; 3(5): 285-287.
- Laffoni I, BenSMASil D, Rech C, et al. Later superior mesenteric artery syndrome in paraplegia: case report and review. Spinal Cord 2002; 40: 88-91. Go to original source... Go to PubMed...
- Merrett ND, Wilson RB, Cosman P, et al. Superior mesentery artery syndrome: diagnosis and treatment strategies. J Gastrointest Surg 2009; 13: 287-292. Go to original source... Go to PubMed...