Template:Superior mesenteric artery syndrome - Indications and choice of modality
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Indications
Imaging is indicated in the presence of risk factors of the condition:[1]
- Most common in females aged 10-39 years
- Previous accentuated weight loss
- Previous surgery for scoliosis
- Anatomical variations in the ligament of Treitz, with consequent elevation of the duodenum
- Signs and symptoms[1]
- Postprandial upper abdominal pain that is relieved in ventral or left lateral decubitus
- Nausea
- Emesis
- Weight loss
Choice of modality
- CT of superior mesenteric artery syndrome is generally the investigation of choice in adults.[2]
- Abdominal ultrasonography combined with endoscopy is preferred in children.[2]
Notes
References
- ↑ 1.0 1.1 Cardarelli Leite, Leandro et al. Abdominal vascular syndromes: characteristic imaging findings. Radiol Bras [online]. 2016, vol.49, n.4 [cited 2019-07-12], pp.257-263. Available from: <http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-39842016000400011&lng=en&nrm=iso>. ISSN 0100-3984. http://dx.doi.org/10.1590/0100-3984.2015.0136.
- ↑ 2.0 2.1 Frederick Merrill Karrer. Superior Mesenteric Artery (SMA) Syndrome Workup. Medscape. Updated: Dec 31, 2018