PDF(Pubmed)
Abstract：
Superior mesenteric artery (SMA) syndrome is a rare disease in which the third part of the duodenum between the SMA and the abdominal aorta is compressed, leading to small bowel obstruction. Treatment is usually conservative, such as parenteral and nasojejunal nutrition. The pathophysiology includes loss of the retroperitoneal fat layer and subsequent duodenal compression. We present a 53-year-old malnourished female patient who came with complaints of vomiting, constipation, abdominal pain, and distension for four days. This article highlights the diagnostic challenges associated with SMA syndrome and emphasizes the importance of early diagnosis and intervention.
摘要：
肠系膜上动脉（SMA）综合征是一种罕见的疾病，其中SMA和腹主动脉之间的十二指肠第三部分被压缩，导致小肠梗阻.治疗通常是保守的，如肠外和鼻空肠营养。病理生理学包括腹膜后脂肪层的损失和随后的十二指肠压迫。我们介绍一名53岁营养不良的女性患者，她有呕吐的投诉，便秘,腹痛,和扩张四天。本文重点介绍了与SMA综合征相关的诊断挑战，并强调了早期诊断和干预的重要性。
