Evidence map›Paper›PMID 40669198›Full record

ArticleInternational journal of surgery case reports2025

Superior mesenteric artery syndrome, an uncommon cause of gastric outlet obstruction: Case report.

Orujul Hassan, Clarence Sumbizi, Abduel Kitua, Jacqueline Gabone, Zainab Fidaali, Athar Ali

Abstract readCase Reports
PubMed Full text at PMC Publisher
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Article in International journal of surgery case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

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3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

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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

6 authors.

Orujul HassanDepartment of Family Medicine, The Aga Khan University, P.O. Box 38129, Dar Es Salaam, Tanzania. Electronic address: orujul@gmail.com.
Clarence SumbiziDepartment of Surgery, The Aga Khan University, P.O. Box 38129, Dar Es Salaam, Tanzania.
Abduel KituaDepartment of Surgery, The Aga Khan University, P.O. Box 38129, Dar Es Salaam, Tanzania.
Jacqueline GaboneDepartment of Radiology, The Aga Khan Hospital, P.O. Box 2289, Dar Es Salaam, Tanzania.
Zainab FidaaliDepartment of Radiology, The Aga Khan Hospital, P.O. Box 2289, Dar Es Salaam, Tanzania.
Athar AliDepartment of Surgery, The Aga Khan University, P.O. Box 38129, Dar Es Salaam, Tanzania; Department of Surgery, The Aga Khan Hospital, P.O. Box 2289, Dar Es Salaam, Tanzania.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introduction and importanceSuperior Mesenteric Artery (SMA) syndrome is an uncommon cause of gastric outlet obstruction secondary to duodenal compression between the SMA and the abdominal aorta. Diagnosis is challenging due to its nonspecific symptoms. We present a case highlighting an atypical presentation in a patient with normal BMI, prolonged diagnostic delay, and surgical management in a resource-limited setting. CASE PRESENTATION: We report a case of an 18-year-old female who presented with chronic abdominal pain, nausea, vomiting, and early satiety over three years. Despite a normal BMI (23.8 kg/m CLINICAL DISCUSSION: SMA syndrome is an uncommon and challenging diagnosis, especially in patients without classical presentations such as low BMI. Delayed diagnosis contributed to prolonged morbidity. The successful surgical intervention in a resource-limited setting emphasizes the need for increased awareness of SMA syndrome as a differential for chronic upper GI symptoms.

conclusionThis case outlines the diagnostic challenges SMA syndrome poses due to its nonspecific nature of the clinical presentation. Improved clinical suspicion can reduce diagnostic delays and optimize management, particularly in regions with limited diagnostic resources.

Indexed as

Case reportDelayed diagnosisDuodenojejunostomyGastric outlet obstructionResource-limited settingsSuperior mesenteric artery syndrome

Identifiers

PMID40669198
PMCPMC12283549

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