Superior mesenteric artery syndrome in an 18-year old female: Case report

Karishma Lal, Akash Khetpal, Muhammad Saad Ali Mallick, Ansab Godil, Arsalan Majeed Adam, Zahid Ali Memon

Research output: Contribution to journalArticlepeer-review


We report an unusual case of an 18-year old woman, who presented to Civil Hospital Karachi in May 2016 with complaints of vomiting, abdominal pain, dysphagia, altered bowel habits, loss of appetite and chronic weight loss. On examination, abdomen was found to be soft and non-tender with discomfort on breathing. CT angiogram revealed reduction of aortomesenteric angle and aortomesenteric distance which were both consistent with superior mesenteric artery syndrome. Reduction in angle was thought to be because of weight loss and adipose tissue depletion so patient was started on enteral and parenteral nutritional supplements. Upon seeing little to no improvement, duodenojejunostomy was performed and patient was kept under observation. Nutritional supplements were continued. The after procedure course was uneventful.

Original languageEnglish
Pages (from-to)503-506
Number of pages4
JournalJournal of the Pakistan Medical Association
Issue number3
Publication statusPublished - Mar 2018
Externally publishedYes


  • Aortomesenteric angle
  • Aortomesenteric distance
  • Ligament of Treitz
  • Superior meseneteric artery syndrome


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