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Case Report
Online Published: 12 Aug 2025
 


Superior mesenteric Artery Syndrome in a patient with Achalasia

Aqib Hussain, Ujala Kausar.


Abstract
Background: SMA syndrome is a rare disease occurring as a result of compression of third part of duodenum between SMA and aorta causing intestinal obstruction. The aortomesenteric angle is narrowed as compared to its normal angle
Case: An 18 year old boy presents with history of abdominal pain and vomiting. CT scan reveals SMA syndrome. was being managed conservatively on TPN. Later on barrium swallow showed achalasia which was treated surgically. Patient was discharged once tolerating good orally.
Discussion: SMA syndrome occurs most commonly as a result of weight loss, resulting in loss of omentomesenteric fat as was in our case. weight gain is the mainstay of treatment. surgery can be done if conservative management fails.

Key words: SMA Syndrome, Achalasia, Aortomesenteric angle


 
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How to Cite this Article
Pubmed Style

Hussain A, Kausar U. Superior mesenteric Artery Syndrome in a patient with Achalasia. SAJEM. Online First: 12 Aug, 2025. doi:10.5455/sajem.050104

Web Style

Hussain A, Kausar U. Superior mesenteric Artery Syndrome in a patient with Achalasia. https://www.sajem.org/?mno=131022 [Access: June 24, 2026]. doi:10.5455/sajem.050104

AMA (American Medical Association) Style

Hussain A, Kausar U. Superior mesenteric Artery Syndrome in a patient with Achalasia. SAJEM. Online First: 12 Aug, 2025. doi:10.5455/sajem.050104


Vancouver/ICMJE Style

Hussain A, Kausar U. Superior mesenteric Artery Syndrome in a patient with Achalasia. SAJEM, [cited June 24, 2026]; Online First: 12 Aug, 2025. doi:10.5455/sajem.050104


Harvard Style

Hussain, A. & Kausar, . U. (2024) Superior mesenteric Artery Syndrome in a patient with Achalasia. SAJEM, Online First: 12 Aug, 2025. doi:10.5455/sajem.050104


Turabian Style

Hussain, Aqib, and Ujala Kausar. 2024. Superior mesenteric Artery Syndrome in a patient with Achalasia. South Asian Journal of Emergency Medicine, Online First: 12 Aug, 2025. doi:10.5455/sajem.050104


Chicago Style

Hussain, Aqib, and Ujala Kausar. "Superior mesenteric Artery Syndrome in a patient with Achalasia." South Asian Journal of Emergency Medicine Online First: 12 Aug, 2025. doi:10.5455/sajem.050104


MLA (The Modern Language Association) Style

Hussain, Aqib, and Ujala Kausar. "Superior mesenteric Artery Syndrome in a patient with Achalasia." South Asian Journal of Emergency Medicine Online First: 12 Aug, 2025. Web. 24 Jun 2026 doi:10.5455/sajem.050104


APA (American Psychological Association) Style

Hussain, A. & Kausar, . U. (2024) Superior mesenteric Artery Syndrome in a patient with Achalasia. South Asian Journal of Emergency Medicine, Online First: 12 Aug, 2025. doi:10.5455/sajem.050104


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