The superior mesenteric artery (SMA) syndrome is uncommon but well-studied clinical presentation. It is characterized by compression of the transverse portion of the duodenum between the aorta and superior mesenteric artery. This article focuses on the diagnosis and treatment of SMA syndrome. The superior mesenteric artery (SMA) syndrome is one of the uncommon gastrointestinal presentation. The syndrome is also known as Cast Syndrome, Wilkie Syndrome, arteriomesenteric duodenal obstruction and chronic duodenal ileus.
The syndrome is an unusual cause of proximal intestinal obstruction. The SMA syndrome is characterized by decreased acuity of the angle between the aorta and superior mesenteric artery due to the loss of mesenteric fat between SMA and aorta. This results in the compression of the third (transverse) portion of the duodenum. The studies have reported the incidence of SMA…
