Unusual Etiologies for Vascular Duodenal Compression Mimicking the Superior Mesenteric Artery (SMA) Syndrome: The SMA-Like Syndrome

Abstract

We report a series of nine cases of unusual etiologies for vascular duodenal compression that do not meet the diagnostic criteria for superior mesenteric artery (SMA) syndrome and propose that “SMA-like syndrome” be used to classify these vascular duodenal compression cases.

Keywords

superior mesentery artery syndrome - SMA-like syndrome - duodenal compression - vascular compression

• References

• 1 Rokitansky CV. Lehrbuch Der Pathologischen Anatomie. Vienna: Braumüller & Seidel; 1861: 67
• 2 Wilkie D. Chronic duodenal ileus. Am. J Med Sci 1927; 173 (05) 643-648
• 3 Gustafsson L, Falk A, Lukes PJ, Gamklou R. Diagnosis and treatment of superior mesenteric artery syndrome. Br J Surg 1984; 71 (07) 499-501
• 4 Konen E, Amitai M, Apter S. et al. CT angiography of superior mesenteric artery syndrome. Am J Roentgenol 1998; 171 (05) 1279-1281
• 5 Hines JR, Gore RM, Ballantyne GH. Superior mesenteric artery syndrome. Diagnostic criteria and therapeutic approaches. Am J Surg 1984; 148 (05) 630-632
• 6 Applegate GR, Cohen AJ. Dynamic CT in superior mesenteric artery syndrome. J Comput Assist Tomogr 1988; 12 (06) 976-980
• 7 Unal B, Aktaş A, Kemal G. et al. Superior mesenteric artery syndrome: CT and ultrasonography findings. Diagn Interv Radiol 2005; 11 (02) 90-95
• 8 Lamba R, Tanner DT, Sekhon S, McGahan JP, Corwin MT, Lall CG. Multidetector CT of vascular compression syndromes in the abdomen and pelvis. Radiographics 2014; 34 (01) 93-115
• 9 Merrett ND, Wilson RB, Cosman P, Biankin AV. Superior mesenteric artery syndrome: diagnosis and treatment strategies. J Gastrointest Surg 2009; 13 (02) 287-292
• 10 Lee CS, Mangla JC. Superior mesenteric artery compression syndrome. Am J Gastroenterol 1978; 70 (02) 141-150
• 11 Anderson JR, Earnshaw PM, Fraser GM. Extrinsic compression of the third part of the duodenum. Clin Radiol 1982; 33 (01) 75-81
• 12 Welsch T, Büchler MW, Kienle P. Recalling superior mesenteric artery syndrome. Dig Surg 2007; 24 (03) 149-156
• 13 Ahmed AR, Taylor I. Superior mesenteric artery syndrome. Postgrad Med J 1997; 73 (866): 776-778
• 14 Gondos B. Duodenal compression defect and the “superior mesenteric artery syndrome” 1. Radiology 1977; 123 (03) 575-580
• 15 Cohen LB, Field SP, Sachar DB. The superior mesenteric artery syndrome. The disease that isn't, or is it?. J Clin Gastroenterol 1985; 7 (02) 113-116
• 16 Shin J, Shin PJ, Bartolotta RJ. SMA-like syndrome with variant mesenteric venous anatomy. Clin Imaging 2018; 48: 86-89
• 17 Dinan D, Epelman M, Guimaraes CV, Burns RC, Donnelly LF. Proximal duodenal obstruction associated with compression from a replaced right hepatic artery. Pediatr Radiol 2014; 44 (02) 226-229