2020 Volume 48 Issue 2 Pages 49-53
We report a case of superior mesenteric artery (SMA)syndrome with acute pancreatitis. The patient was an 80-year-old man who sought emergency consultation for abdominal fullness and vomiting. Blood examination showed increased white blood cells and total amylase level. On plain CT, the horizontal duodenum was compressed by the aorta and SMA, and fluid distention was observed from the esophagus to the stomach and duodenum. There was no enlargement of the pancreas, although fluid collection was observed around the pancreatic tail. The patient was diagnosed as having acute pancreatitis due to SMA syndrome, and he recovered with conservative treatment. SMA syndrome may be associated with acute pancreatitis.
