Superior Mesenteric Artery Syndrome: Clinical and Radiological Considerations

Table 1

Clinical, radiological, and endoscopic features of individual patients in the series.

Patient	Age (years)/; sex	Clinical presentation	Diagnosis on gastrografin/; barium meal	Diagnosis on; CT scan	Upper endoscopy
1st	17/♀	Chronic abdominal pain, vomiting, and weight loss	Yes	Not done	Done, not diagnostic
2nd	16/♀	Chronic abdominal pain, nausea, repeated vomiting, persistent hunger, and weight loss	Yes	Yes	Done, not diagnostic
3rd	18/♀	Acute abdominal pain, vomiting, and weight loss	Yes	Not done	Not done
4th	25/♂	Acute abdominal pain, vomiting, sense of distension, and weight loss	Yes	Yes	Done, not diagnostic+
5th	13/♀	Chronic abdominal pain after meals, vomiting, and weight loss	Yes	Not done	Not done
6th	9/♀	Acute abdominal pain, nausea, and repeated vomiting	Yes	Not done	Not done
7th	22/♀	Chronic abdominal pain, vomiting, and weight loss	Yes	Yes	Not done

Dilation of the duodenum with abrupt cut-off at its third part, coinciding with the line of the SMA.
Narrow aortomesenteric angle and aortomesenteric distance.