Superior mesenteric artery syndrome masquerading as chronic gastric volvulus in a child with severe acute malnutrition: a case report

M. Mokarram Ali, Amit Kumar, Rashi ., Amit K. Sinha, Bindey Kumar


Superior mesenteric artery (SMA) syndrome is a rare cause of high intestinal obstruction. It is commonly seen in severely malnourished patients presenting with repeated episodes of vomiting. We report a case of SMA syndrome in a 3 years old male child provisionally diagnosed as chronic gastric volvulus with severe acute malnutrition. The diagnosis of SMA syndrome was confirmed on abdominal exploration. SMA syndrome is a rare case of intestinal obstruction in paediatric age group. Chronic malnutrition is one of the common causes of this entity. There should be a high index of suspicion for this syndrome when we encounter a child with severe malnutrition and recurrent vomiting.


Malnutrition, Paediatric, Recurrent vomiting, Superior mesenteric artery syndrome

Full Text:



Samdani PG, Samdani V, Goel A. Superior mesenteric artery compression syndrome. Indian J Pediatr. 2006;73(6):523-5.

Shiu JR, Chao HC, Luo CC, Lai MW, Kong MS, Chen SY, et al. Clinical and nutritional outcomes in children with idiopathic superior mesenteric artery syndrome. J Pediatr Gastroenterol Nutr. 2010;51(2):177-82.

Scovell S, Hamdan A. Superior mesenteric artery syndrome. Upto Date. Waltham, MA: Upto Date; 2015.

Raissi B, Taylor BM, Taves DH. Robotic duodenojejunostomy for superior mesenteric artery syndrome in a teenager. Canadian J Surg. 1996;39:410-6.

Hsu YC, Perng CL, Chen CK, Tsai JJ, Lin HJ. Conservative management of chronic gastric volvulus: 44 cases over 5 years. World J Gastroenterol. 2010;16:4200-5.

Unal B, Aktas A, Kemal G, Bilgili Y, Guliter S, Daphan C, et al. Superior mesenteric artery syndrome: CT and ultrasonography findings. Diagn Interv Radiol. 2005;11:90-5.