Superior mesenteric artery syndrome: case report

A. Elfarouki, M A. Lkousse, J.Elatmani, Y. Ismail, A. Aiterrami, S. Oubaha ,
Z. Samlani , K. Krati

Page No . 1-4

Introduction: The mesenteric artery syndrome is defined by the extrinsic compression of
the third portion of the duodenum between the superior mesenteric artery and aorta. It
is a rare entity; fist treatment is medical, but frequently surgery is required. Observation: We report the case of a 20-year old patient, with five months of continuous epigastric pain. Upper gastrointestinal endoscopy showed a large gastric and duodenal stasis and upper gastrointestinal barium  found a D3 stenosis related to a mesenteric artery syndrome. The management consisted of surgical treatment after failure of medical treatment with a favorable outcome.Conclusion: The mesenteric artery syndrome is a rare and benign disorder. Medical treatment is tried fist but surgery is common.
Keywords : Superior mesenteric artery syndrome; Chronic vomiting; Gastro-entero-anastomosis