Primary adenocarcinoma of the small intestine presenting as superior mesenteric artery syndrome: A case report

Sun,Ke‑Kang; Wu,Xiaoyang; Liu,Gang; Qian,Haixin; Shen,Xiaojun

doi:10.3892/ol.2016.4116

Primary adenocarcinoma of the small intestine presenting as superior mesenteric artery syndrome: A case report

Authors:
- Ke‑Kang Sun
- Xiaoyang Wu
- Gang Liu
- Haixin Qian
- Xiaojun Shen
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Affiliations: Department of Gastrointestinal Surgery, Kunshan First People's Hospital Affiliated to Jiangsu University, Kunshan, Jiangsu 215300, P.R. China, Department of General Surgery, First Hospital Affiliated to Soochow University, Suzhou, Jiangsu 215006, P.R. China
Published online on: January 15, 2016 https://doi.org/10.3892/ol.2016.4116
Pages: 1903-1906

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Abstract

Superior mesenteric artery syndrome (SMAS) is an uncommon cause of vomiting and weight loss due to compression of the third part of the duodenum by the superior mesenteric artery. Small bowel adenocarcinoma is an uncommon tumor, which is frequently delayed in diagnosis as its symptoms and signs are non‑specific. The present study describes a case of SMAS occurring in a 51‑year‑old man, caused by intestinal obstruction secondary to a primary adenocarcinoma of the duodenal‑jejunal junction. To the best of our knowledge, the present case is the first report of small bowel adenocarcinoma masquerading as SMAS. The present case highlights the importance of considering the possibility of SMAS in patients with upper bowel obstruction caused by intestinal carcinoma.

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