0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Article |

Superior Mesenteric Artery Syndrome

JOHN S. HYDE, MD; CHARLES L. SWARTS, MD; EVERETT E. NICHOLAS, MD; CLAUDE R. SNEAD, MD; NOEL F. STRASSER, MD
Am J Dis Child. 1963;106(1):25-34. doi:10.1001/archpedi.1963.02080050027007.
Text Size: A A A
Published online

Recurrent abdominal pain is common in pediatric practice. Frequently no organic cause is established after extensive clinical and laboratory studies. It is the purpose of this report to call attention to the superior mesenteric artery syndrome (SMAS) as a cause of abdominal pain and to discuss its pathogenesis, diagnosis, and treatment.

The SMAS is an obstruction of the duodenum in the transverse portion proximal to the ligament of Treitz. It is produced by the dorsal mesentery which includes the superior mesenteric artery with its accompanying veins, nerves, fibrous tissue, fat, and lymph nodes. Obstruction varies from minimal to complete. It is intermittent to constant and may be symptomatic or asymptomatic. The symptoms and signs produced by SMAS are similar to those due to any duodenal obstruction distal to the ampulla of Vater.

Organic obstruction in the distal duodenum by the SMAS was first reported by von Rokitansky1 in 1861.

Topics

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

First Page Preview

View Large
First page PDF preview

First Page Preview

View Large
First page PDF preview

Figures

Tables

References

Correspondence

CME
Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Submit a Comment

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.

Jobs
brightcove.createExperiences();