GI Radiology


Case  40 :  
 

12 YEAR OL DFEMALE WITH ABDOMINAL PAIN AND VOMITING

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Answer:

SMA syndrome

 

 

Findings:

Upper GI series shows a vertical impression on the 3rd part of duodenum.

There is no significant dilatation of the stomach and duodenum.

Ultrasound & Doppler images show reduced SMA-Aorta angle and reduced SMA – Aorta distance.

 

 

Discussion:

Measurements of the SMA-aorta angle and Distance in healthy individuals are 25-60 degrees and 2-8mm respectively.

In SMA syndrome these are reduced to 6-15 degrees and 2-8mm respectively.

These findings should also be taken into consideration while arriving at the diagnosis of SMA syndrome.

Dr. Paresh Desai, Goa