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.