SMA-like syndrome with variant mesenteric venous anatomy

James Shin; Paul J Shin; Roger J Bartolotta

doi:10.1016/j.clinimag.2017.03.013

SMA-like syndrome with variant mesenteric venous anatomy

Clin Imaging. 2018 Mar-Apr:48:86-89. doi: 10.1016/j.clinimag.2017.03.013. Epub 2017 Apr 6.

Authors

James Shin¹, Paul J Shin², Roger J Bartolotta³

Affiliations

¹ Weill Cornell Medical College, Department of Radiology, 525 E. 68th St., New York, NY 10065, United States. Electronic address: jjs7005@med.cornell.edu.
² NewYork-Presbyterian Hospital, Department of Surgery, 525 E. 68th St., New York, NY 10065, United States.
³ Weill Cornell Medical College, Department of Radiology, 525 E. 68th St., New York, NY 10065, United States.

PMID: 29055874
DOI: 10.1016/j.clinimag.2017.03.013

Abstract

Superior mesenteric artery (SMA) syndrome refers to the constellation of symptoms that are associated with intermittent obstruction of the duodenum due to vascular compression. We present a case of SMA-like syndrome related to variant mesenteric venous drainage in the setting of normal aortomesenteric angle (AMA) and borderline reduced aortomesenteric distance (AMD).

Keywords: Arteriomesenteric occlusion; CT; Duodenal obstruction; SMA syndrome; Wilkie syndrome.

Publication types

Case Reports

MeSH terms

Duodenum / pathology
Humans
Male
Mesenteric Veins / anatomy & histology*
Mesentery
Middle Aged
Superior Mesenteric Artery Syndrome*
Tomography, X-Ray Computed

Supplementary concepts

Vascular Compression of the Duodenum