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SMA syndrome is also known as Wilkie's syndrome, cast syndrome, mesenteric root syndrome, chronic duodenal ileus and intermittent arterio-mesenteric occlusion. [3] It is distinct from nutcracker syndrome, which is the entrapment of the left renal vein between the AA and the SMA, although it is possible to be diagnosed with both conditions. [4]
Acute occlusion of the SMA almost invariably leads to intestinal ischemia and often has devastating consequences, with up to 80% of SMA occlusions leading to death. [2] The SMA can compress the left renal vein, leading to nutcracker syndrome; and/or the third (horizontal) part of the duodenum, leading to superior mesenteric artery syndrome.
The left colic artery is a branch of the inferior mesenteric artery distributed to the descending colon, and left part of the transverse colon.It ends by dividing into an ascending branch and a descending branch; [1] the terminal branches of the two branches go on to form anastomoses with the middle colic artery, and a sigmoid artery (respectively).
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 left colic flexure or splenic flexure (as it is close to the spleen) is the sharp bend between the transverse colon and the descending colon. The splenic flexure receives dual blood supply from the terminal branches of the superior mesenteric artery and the inferior mesenteric artery .
Depending on the level of obstruction, bowel obstruction can present with abdominal pain, abdominal distension, and constipation.Bowel obstruction may be complicated by dehydration and electrolyte abnormalities due to vomiting; respiratory compromise from pressure on the diaphragm by a distended abdomen, or aspiration of vomitus; bowel ischemia or perforation from prolonged distension or ...
Next, thrust in an inward and upward motion on the diaphragm. This will force air out of the lungs and remove the blockage. Repeat these abdominal thrusts up to five times, the doctor advised.
Arterial occlusion is a condition involving partial or complete blockage of blood flow through an artery. Arteries are blood vessels that carry oxygenated blood to body tissues. [ 1 ] [ 2 ] An occlusion of arteries disrupts oxygen and blood supply to tissues, leading to ischemia . [ 1 ]