The superior mesenteric artery syndrome smas is an unusual acquired clinical entity, produced by compression of the third duodenal portion by the superior mesenteric artery sma, resulting in duodenal obstruction. The compression of the duodenum by the mesenteric artery and aorta causes an intermitent obstruction. Superior mesenteric artery syndrome smas is an ac quired disorder that results from compression of the third portion of the duodenum between the abdominal aorta and the superior mesenteric artery. It is a rare entity, caused by compression of the third portion of the duodenum by the superior mesenteric artery, resulting in an obstruction in this. Acute mesenteric ischemia, chronic mesenteric ischemia, multidetector computed tomography. Sep 21, 2009 this is a retouched picture, which means that it has been digitally altered from its original version. Superior mesenteric artery sma syndrome, also known as wilkie syndrome or cast syndrome or aortomesentric duodenal compression syndrome is a rare acquired vascular compression disorder in which acute angulation of the superior mesenteric artery sma results in compression of the third part of the duodenum, leading to obstruction it should not be confused with nutcracker syndrome which.
Arteria mesenterica superior definition of arteria. Dec 31, 2018 superior mesenteric artery sma syndrome is an uncommon but well recognized clinical entity characterized by compression of the third, or transverse, portion of the duodenum between the aorta and the superior mesenteric artery. Baixe no formato pdf, txt ou leia online no scribd. The incidence is not well known, as it is an underdiagnosed entity. The superior mesenteric syndrome is a rare and controversial disease. Unal b, aktas a, kemal g, bilgili y, guliter s, daphan c, et al. In human anatomy, the superior mesenteric artery sma arises from the anterior surface of the abdominal aorta, just inferior to the origin of the celiac trunk, and supplies the intestine from the lower part of the duodenum through twothirds of the transverse colon, as well as the pancreas. We present one case of this syndrome in a pacient with severe weight loss and signs of high intestinal obstruction.
The mesenteric arteries take blood from the aorta and distribute it to a large portion of the gastrointestinal tract. Superior mesenteric artery syndrome masquerading as recurrent biliary pancreatitis. Sindrome da arteria mesenterica superior by ana marta pereira. Endovascular treatment for superior mesenteric artery. It has been referred to by a variety of other names, including cast syndrome, wilkie syndrome, arteriomesenteric duodenal obstruction, and chronic duodenal ileus 1,2. Ramos arteria pancreaticoduodenal inferior arteria colica media arteria colica direita ramos intestinais arterias jejunais, arterias ileais arteria ileocolica. Associazone di pancreatite acuta ed infarto intestinale da oclussione dell arteria mesenterica superiore. Arteria mesenterica superior wikipedia, a enciclopedia livre. Laparoscopic repair with stappled duodenojejunal anastomosis was described in 5 cases in the literature for the treatment of the. Endovascular treatment for superior mesenteric artery pseudoaneurysm. The syndrome is characterized by compression of the third portion of the duodenum due to narrowing of the space. Pdf superior mesenteric artery syndrome or wilkie syndrome.
Superior mesenteric artery syndrome is an unusual cause of proximal intestinal obstruction. Acute pancreatitis and superior mesenteric artery syndrome. Retroperitoneal fat pad loss is thought to be the main cause of acute angulation and smas symptoms 1. This results in chronic, intermittent, or acute complete or partial duodenal obstruction. Superior mesenteric artery sma syndrome, also known as wilkie syndrome or cast syndrome or aortomesentric duodenal compression syndrome is a rare acquired vascular compression disorder in which acute angulation of the superior mesenteric artery sma results in compression of the third part of the duodenum, leading to obstruction. Mesenteric artery, superior ovre tarmkaxartar svensk definition. Associazone di pancreatite acuta ed infar to intestinale da oclussione dell arteria mesenterica superiore. Each of these arteries travel through the mesentery, within which they branch several times before reaching the gut. Superior mesenteric artery syndrome is a rare condition caused by vascular compression of the third portion of the duodenum. Spectrum of ct findings with multiplanar reconstructions and 3d imaging. Superior mesenteric artery syndrome is one of the rarest gastrointestinal disorders known to medical science. Superior mesenteric artery syndrome is a rare complication in patients immobilized in a body cast or hip spica. Early diagnosis and proper treatment usually leads to an uneventful convalescence. Petrosyan m, estrada jj, giuliani s, williams m, rosen h.
Irrigacion intestinal arteria mesenterica superior coquito medico. Arbell d, gross e, koplewitz b, vromen a, barziv j, udassin r. The superior mesenteric artery syndrome sams or wilkie syndrome is a rare condition characterized by partial or complete obstruction of the third portion of the duodenum by the superior mesenteric artery in theanteror face and by aorta and spine on the posterior face. Both the superior and inferior mesenteric arteries arise from the abdominal aorta.
Superior mesenteric artery syndrome radiology reference. Resumo a isquemia mesenterica e causada pela reducao do fluxo sanguineo mesenterico. Superior mesenteric artery sma syndrome is an uncommon but well recognized clinical entity characterized by compression of the third, or transverse, portion of the duodenum between the aorta and the superior mesenteric artery. It has been referred to by a variety of other names, including cast syndrome, wilkie syndrome, arteriomesenteric duodenal obstruction, and chronic duodenal ileus.
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