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Superior mesenteric artery compressing the duodenum, featuring the superior mesenteric artery syndrome. Superior mesenteric artery (SMA) syndrome is a gastro-vascular disorder in which the third and final portion of the duodenum is compressed between the abdominal aorta (AA) and the overlying superior mesenteric artery.
In addition, stenosis of the inferior mesenteric artery was very severe. Abdominal angina is caused by obstruction or stenosis of the inferior mesenteric artery (IMA), celiac trunk, or superior mesenteric artery (SMA). [4] More than 95% of abdominal angina is caused by stenosis of the splanchnic arteries due to local atherosclerosis.
The management of isolated superior mesenteric artery dissection (ISMAD) often involves conservative treatment, which includes blood pressure lowering therapy, analgesics, and initial bowel rest. [4] Periodic follow-ups with CT angiography are a part of the conservative treatment approach. Over time, many patients show improvement or no change ...
In embolic acute intestinal ischemia, CT-Angiography can be of great value for diagnosis and treatment. It may reveal the emboli itself lodged in the superior mesenteric artery, as well as the presence or absence of distal mesenteric branches. [18] Late findings, which indicate dead bowel, include: Intramural bowel gas [29] Portal venous gas
This leads to narrowing, or in the most severe cases, complete obliteration of the intestinal lumen. [citation needed] In the case that the superior mesenteric artery, or another major intestinal artery, is occluded, large segments of bowel can be entirely underdeveloped (Type III). Classically, the affected area of bowel assumes a spiral ...
In human anatomy, the superior mesenteric artery (SMA) is an artery which arises from the anterior surface of the abdominal aorta, just inferior to the origin of the celiac trunk, and supplies blood to the intestine from the lower part of the duodenum through two-thirds of the transverse colon, as well as the pancreas.
In addition, ischemic colitis is a well-recognized complication of abdominal aortic aneurysm repair, when the origin of the inferior mesenteric artery is covered by the aortic graft. [13] [14] In a 1991 review concerning 2137 patients the accidental inferior mesenteric artery ligation was the most common cause (74%) of ischemic colitis. [15]
This can result in pelvic pain and also GI tract irritation leading to bloating, abdominal fullness, constipation and/or diarrhea. Often times nutcracker syndrome occurs alongside other abdominal compressions such as May Thurner Syndrome, Superior Mesenteric Artery Syndrome, and Median Arcuate Ligament Syndrome.
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