ArticleJournal of surgical case reports2025
Phytobezoar mimicking superior mesenteric artery syndrome in acute duodenal obstruction: a case report and review of literature.
Article in Journal of surgical case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Bezoars and superior mesenteric artery (SMA) syndrome are uncommon causes of duodenal obstruction. SMA syndrome is often suspected if radiological features such as reduced aortomesenteric angle and distance are observed. Other pathologies such as an obstructing bezoar should be investigated and treated first before a diagnosis of SMA syndrome is made. In this manuscript, we present a case of an obstructing duodenal bezoar initially misdiagnosed as SMA syndrome, and highlight the importance of thorough upper gastrointestinal endoscopy to the level of the third duodenal segment in all cases of suspected SMA syndrome.
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