Evidence map›Paper›PMID 34611011›Full record

ArticleSaudi medical journal2021

Superior mesenteric artery syndrome: An often overlooked cause of abdominal pain!

Khawaja B Waheed, Waseem Jan Shah, Arifa Jamal, Hassan R Mohammed, Bilal Altaf, Muhammad Amjad, Muneerah Al Bassam, Doaa H Almutawa, Zechariah J Arulanantham

Open access · diamondAbstract read
In one paragraph

Article in Saudi medical journal, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
2.7field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 4 institutions in 3 countries.

Khawaja B WaheedFrom the Department of Radiology Department (Waheed); from the Department of Internal Medicine (Jamal, Amjad); from the Vascular Surgery Department (Mohammed); from the Department of General Surgery (Altaf); from the Radiology Department (Al Bassam, Almutawa), King Fahad Military Medical Complex; from the Vice Deanship of Post-graduate and Research (Arulanantham), Prince Sultan Military College of Health Science, Dahran, Kingdom of Saudi Arabia; and from the Department of Paediatric Surgery (Jan Shah), Sher I Kashmir Institute of Medical Sciences, Srinagar.
Waseem Jan ShahFrom the Department of Radiology Department (Waheed); from the Department of Internal Medicine (Jamal, Amjad); from the Vascular Surgery Department (Mohammed); from the Department of General Surgery (Altaf); from the Radiology Department (Al Bassam, Almutawa), King Fahad Military Medical Complex; from the Vice Deanship of Post-graduate and Research (Arulanantham), Prince Sultan Military College of Health Science, Dahran, Kingdom of Saudi Arabia; and from the Department of Paediatric Surgery (Jan Shah), Sher I Kashmir Institute of Medical Sciences, Srinagar.
Arifa JamalFrom the Department of Radiology Department (Waheed); from the Department of Internal Medicine (Jamal, Amjad); from the Vascular Surgery Department (Mohammed); from the Department of General Surgery (Altaf); from the Radiology Department (Al Bassam, Almutawa), King Fahad Military Medical Complex; from the Vice Deanship of Post-graduate and Research (Arulanantham), Prince Sultan Military College of Health Science, Dahran, Kingdom of Saudi Arabia; and from the Department of Paediatric Surgery (Jan Shah), Sher I Kashmir Institute of Medical Sciences, Srinagar.
Hassan R MohammedFrom the Department of Radiology Department (Waheed); from the Department of Internal Medicine (Jamal, Amjad); from the Vascular Surgery Department (Mohammed); from the Department of General Surgery (Altaf); from the Radiology Department (Al Bassam, Almutawa), King Fahad Military Medical Complex; from the Vice Deanship of Post-graduate and Research (Arulanantham), Prince Sultan Military College of Health Science, Dahran, Kingdom of Saudi Arabia; and from the Department of Paediatric Surgery (Jan Shah), Sher I Kashmir Institute of Medical Sciences, Srinagar.
Bilal AltafFrom the Department of Radiology Department (Waheed); from the Department of Internal Medicine (Jamal, Amjad); from the Vascular Surgery Department (Mohammed); from the Department of General Surgery (Altaf); from the Radiology Department (Al Bassam, Almutawa), King Fahad Military Medical Complex; from the Vice Deanship of Post-graduate and Research (Arulanantham), Prince Sultan Military College of Health Science, Dahran, Kingdom of Saudi Arabia; and from the Department of Paediatric Surgery (Jan Shah), Sher I Kashmir Institute of Medical Sciences, Srinagar.
Muhammad AmjadFrom the Department of Radiology Department (Waheed); from the Department of Internal Medicine (Jamal, Amjad); from the Vascular Surgery Department (Mohammed); from the Department of General Surgery (Altaf); from the Radiology Department (Al Bassam, Almutawa), King Fahad Military Medical Complex; from the Vice Deanship of Post-graduate and Research (Arulanantham), Prince Sultan Military College of Health Science, Dahran, Kingdom of Saudi Arabia; and from the Department of Paediatric Surgery (Jan Shah), Sher I Kashmir Institute of Medical Sciences, Srinagar.
Muneerah Al BassamFrom the Department of Radiology Department (Waheed); from the Department of Internal Medicine (Jamal, Amjad); from the Vascular Surgery Department (Mohammed); from the Department of General Surgery (Altaf); from the Radiology Department (Al Bassam, Almutawa), King Fahad Military Medical Complex; from the Vice Deanship of Post-graduate and Research (Arulanantham), Prince Sultan Military College of Health Science, Dahran, Kingdom of Saudi Arabia; and from the Department of Paediatric Surgery (Jan Shah), Sher I Kashmir Institute of Medical Sciences, Srinagar.
Doaa H AlmutawaFrom the Department of Radiology Department (Waheed); from the Department of Internal Medicine (Jamal, Amjad); from the Vascular Surgery Department (Mohammed); from the Department of General Surgery (Altaf); from the Radiology Department (Al Bassam, Almutawa), King Fahad Military Medical Complex; from the Vice Deanship of Post-graduate and Research (Arulanantham), Prince Sultan Military College of Health Science, Dahran, Kingdom of Saudi Arabia; and from the Department of Paediatric Surgery (Jan Shah), Sher I Kashmir Institute of Medical Sciences, Srinagar.
Zechariah J ArulananthamFrom the Department of Radiology Department (Waheed); from the Department of Internal Medicine (Jamal, Amjad); from the Vascular Surgery Department (Mohammed); from the Department of General Surgery (Altaf); from the Radiology Department (Al Bassam, Almutawa), King Fahad Military Medical Complex; from the Vice Deanship of Post-graduate and Research (Arulanantham), Prince Sultan Military College of Health Science, Dahran, Kingdom of Saudi Arabia; and from the Department of Paediatric Surgery (Jan Shah), Sher I Kashmir Institute of Medical Sciences, Srinagar.
Al Rasheed University College · IQAltair Engineering (United States) · USPrince Sultan Military College of Health SciencesKing Fahd Military Medical Complex · SA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo determine the prevalence of superior mesenteric artery (SMA) syndrome in patients presenting with abdominal pains, and to evaluate computed tomographic (CT) findings needed for its diagnosis.

methodsThis retrospective record-based study was carried out at the radiology department, from January 2016 to January 2021. All young patients (aged under 25) who underwent CT scans for abdominal pains were reviewed. Post-surgery, tumor, and trauma cases were excluded. Imaging findings for SMA syndrome were recorded as 'suggestive' (reduced aortomesenteric angle and distance with proximal duodenal dilatation), 'possible' (reduced angle and distance without proximal duodenal dilatation) and 'probable' (reduction of either angle or distance). Two radiologists interpreted the findings and consensus reporting was made. Diagnoses were confirmed on clinical grounds (symptomatic improvement by specific treatment and exclusion of other diagnoses), or barium studies. Imaging findings were compared to final diagnoses. McNemar's Chi-square test was used to determine association.

resultsOut of 141 patients (mean age=10.8, standard deviation=4), 7 (4.9%) patients mostly females were having SMA syndromes based on 'suggestive' imaging criteria (

conclusionSuperior mesenteric artery syndrome is not an uncommon condition and should be considered in differential diagnosis of acute abdomen in young patients after excluding other diagnoses.

Indexed as

Superior Mesenteric Artery SyndromeAbdominal PainAgedChildDuodenumFemaleHumansMaleRetrospective StudiesTomography, X-Ray Computedaortomesenteric anglecomputed tomographySMA syndrome

Identifiers

PMID34611011
PMCPMC9129241
OpenAlexW3204635617

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.