Superior mesenteric artery syndrome in an adult rheumatoid arthritis patient

Padhan, Prasanta; Moses, Vinu; Danda, Debashish

doi:10.1111/j.1756-185x.2011.01647.x

Cited by 2 publications

(1 citation statement)

References 4 publications

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“…SMAS has also been described in a 35-year-old female with rheumatoid arthritis who developed cachexia following a two-year history of persistent nausea and vomiting after meals, with a weight loss of 12 kg in a year [ 24 ]. There was CT reduction of the aortomesenteric distance to 6.3 mm and aortomesenteric angle of 17 degrees with paucity of abdominal fat.…”

Section: Discussionmentioning

confidence: 99%

Superior Mesenteric Artery Syndrome: A Potentially Fatal but Reversible Gastrointestinal Manifestation of Systemic Sclerosis

Chua

Wansaicheong

Lim

et al. 2020

Case Reports in Rheumatology

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Superior mesenteric artery syndrome (SMAS) is a rare gastrointestinal disorder characterised by vascular compression of the third part of the duodenum, in the angle between the superior mesenteric artery (SMA) and the abdominal aorta. It presents as an uncommon cause of upper gastrointestinal obstruction. In patients with systemic sclerosis (SSc), gastrointestinal involvement may result in oesophageal dysmotility, gastroesophageal reflux disease (GERD), gastroparesis, small intestinal bacterial overgrowth (SIBO), chronic intestinal pseudoobstruction (CIPO), and fecal incontinence. Malnutrition may thus result in weight loss and reduced mesenteric and retroperitoneal adipose tissue, decreasing the angle between the SMA and aorta causing SMAS. Enteral or parenteral feeding can potentially reverse SMAS in SSc. We report a case of SMAS in an elderly female with SSc and concurrent gastrointestinal involvement, and discuss the important management considerations and potential adverse outcomes when untreated.

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Section: Discussionmentioning

confidence: 99%

Superior Mesenteric Artery Syndrome: A Potentially Fatal but Reversible Gastrointestinal Manifestation of Systemic Sclerosis

Chua

Wansaicheong

Lim

et al. 2020

Case Reports in Rheumatology

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Superior mesenteric artery syndrome: Diagnosis and management

Oka¹,

Awoniyi²,

Hasegawa³

et al. 2023

World J Clin Cases

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Superior mesenteric artery (SMA) syndrome (also known as Wilkie's syndrome, cast syndrome, or aorto-mesenteric compass syndrome) is an obstruction of the duodenum caused by extrinsic compression between the SMA and the aorta. The median age of patients is 23 years old (range 0-91 years old) and predominant in females over males with a ratio of 3:2. The symptoms are variable, consisting of postprandial abdominal pain, nausea and vomiting, early satiety, anorexia, and weight loss and can mimic anorexia nervosa or functional dyspepsia. Because recurrent vomiting leads to aspiration pneumonia or respiratory depression via metabolic alkalosis, early diagnosis is required. The useful diagnostic modalities are computed tomography as a standard tool and ultrasonography, which has advantages in safety and capability of real-time assessments of SMA mobility and duodenum passage. The initial treatment is usually conservative, including postural change, gastroduodenal decompression, and nutrient management (success rates: 70%-80%). If conservative therapy fails, surgical treatment ( i.e ., laparoscopic duodenojejunostomy) is recommended (success rates: 80%-100%).

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Superior mesenteric artery syndrome in an adult rheumatoid arthritis patient

Cited by 2 publications

References 4 publications

Superior Mesenteric Artery Syndrome: A Potentially Fatal but Reversible Gastrointestinal Manifestation of Systemic Sclerosis

Superior Mesenteric Artery Syndrome: A Potentially Fatal but Reversible Gastrointestinal Manifestation of Systemic Sclerosis

Superior mesenteric artery syndrome: Diagnosis and management

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