• The SMA typically runs to the left of its associated vein, the superior mesenteric vein. (wikipedia.org)
  • In human anatomy, the superior mesenteric artery (SMA) is an artery which arises from the anterior surface of the abdominal aorta, just inferior to the origin of the celiac trunk, and supplies blood to the intestine from the lower part of the duodenum through two-thirds of the transverse colon, as well as the pancreas. (wikipedia.org)
  • Located under this portion of the superior mesenteric artery, between it and the aorta, are the following: left renal vein - travels between the left kidney and the inferior vena cava (can be compressed between the SMA and the abdominal aorta at this location, leading to nutcracker syndrome). (wikipedia.org)
  • Superior mesenteric artery (SMA) syndrome is an uncommon but well recognized clinical entity characterized by compression of the third, or transverse, portion of the duodenum between the aorta and the superior mesenteric artery. (medscape.com)
  • The superior mesenteric artery usually forms an angle of approximately 45° (range, 38-56°) with the abdominal aorta, and the third part of the duodenum crosses caudal to the origin of the superior mesenteric artery, coursing between the superior mesenteric artery and aorta. (medscape.com)
  • Any factor that sharply narrows the aortomesenteric angle to approximately 6-25° can cause entrapment and compression of the third part of the duodenum as it passes between the superior mesenteric artery and aorta, resulting in SMA syndrome. (medscape.com)
  • Silastic vessel loops are placed around the artery proximally, near the takeoff from the aorta, and distally, as well as on any side branches which should all be preserved ( figure 2 ). (mhmedical.com)
  • A barium swallow X-ray with small bowel follow-through and computed tomography scan demonstrated remarkable duodenal narrowing between the superior mesenteric artery and the aorta, consistent with superior mesenteric artery syndrome. (biomedcentral.com)
  • The small bowel obstruction occurred as a result of weight loss secondary to the anorexia, which then led to loss of the omental fat pad and consequent compression of the duodenum between the superior mesenteric artery (SMA) and the aorta. (biomedcentral.com)
  • SMA syndrome is generally felt to result from compression of the duodenum between the superior mesenteric artery anteriorly/dorsally and the aorta (and behind the aorta, the vertebral column) posteriorly/ventrally [ 4 ]. (biomedcentral.com)
  • Doppler samples and diameter measurements were taken of the aorta, coeliac artery, common hepatic artery, splenic artery, superior mesenteric artery, and inferior mesenteric artery. (utwente.nl)
  • Nutcracker syndrome is a vascular compression disorder that refers to the compression of the left renal vein, most commonly between the superior mesenteric artery (SMA) and aorta , although other variations can exist 1 . (radiopaedia.org)
  • it is of varying size and is wedged between the superior mesenteric vessels (vein on the right, artery on the left) in front and the aorta behind it. (medscape.com)
  • Abdominal aortic branch occlusion is blockage or narrowing of one of the large arteries in the abdomen that come off of the aorta. (msdmanuals.com)
  • The aorta is the largest artery of the body. (msdmanuals.com)
  • Blockage of the arteries that branch off of the aorta may develop suddenly or slowly. (msdmanuals.com)
  • Sudden blockage of the lower aorta where it divides into the common iliac arteries causes both legs to suddenly become painful, pale, and cold. (msdmanuals.com)
  • The distribution of the systemic arteries is like a ramified tree, the common trunk of which, formed by the aorta, commences at the left ventricle, while the smallest ramifications extend to the peripheral parts of the body and the contained organs (see the image below). (medscape.com)
  • Three branches are given off from the arch of the aorta: the brachiocephalic trunk, the left common carotid artery, and the left subclavian artery. (medscape.com)
  • The brachiocephalic trunk is the largest branch of the arch of the aorta and divides into the right common carotid and right subclavian arteries. (medscape.com)
  • Usually, 9 pairs of posterior intercostal arteries arise from the aorta. (medscape.com)
  • To conclude, although type I classification which describes the textbook pattern of hepatic artery distribution was significantly detected among the Sudanese population, other variants were to be considered since they are related to major arteries like aorta and superior mesenteric. (bvsalud.org)
  • This artery is completed by branches of the left colic which is a branch of the inferior mesenteric artery. (wikipedia.org)
  • Anatomy figure: 39:02-01 at Human Anatomy Online, SUNY Downstate Medical Center - "Branches of the inferior mesenteric artery. (wikipedia.org)
  • Xiu WL, Liu J, Zhang JL, Su N, Wang FJ, Hao XW, Wang FF, Dong Q. Computer-assisted rescue of the inferior mesenteric artery in a child with a giant ganglioneuroblastoma: A case report. (wjgnet.com)
  • the third part of the duodenum, a segment of the small intestines (can be compressed by the SMA at this location, leading to superior mesenteric artery syndrome). (wikipedia.org)
  • and/or the third (horizontal) part of the duodenum, leading to superior mesenteric artery syndrome. (wikipedia.org)
  • [ 1 ] Superior mesenteric artery syndrome was first described in 1861 by Von Rokitansky, who proposed that its cause was obstruction of the third part of the duodenum as a result of arteriomesenteric compression. (medscape.com)
  • Alternatively, other causes implicated in superior mesenteric artery syndrome include high insertion of the duodenum at the ligament of Treitz, a low origin of the superior mesenteric artery, and compression of the duodenum due to peritoneal adhesions. (medscape.com)
  • Superior mesenteric artery (SMA) syndrome is an interesting phenomenon that occurs when the SMA compresses the third part of the duodenum. (journalmc.org)
  • Nutcracker syndrome should not be confused with superior mesenteric artery syndrome (Wilkie syndrome), also a superior mesenteric artery compression disorder , where the SMA compresses the third part of the duodenum (the two conditions, however, may be associated). (radiopaedia.org)
  • In 1946, Waugh and Clagett described a formal en-bloc resection of the gallbladder with the common bile duct (CBD), gastric antrum, duodenum, and head of pancreas performed as a one-stage procedure, which we recognize today as the classic pancreaticoduodenectomy. (medscape.com)
  • By convention, the dissection includes the right branch of the middle colic artery. (medscape.com)
  • Pancreaticoduodenectomy with early superior mesenteric artery dissection. (medigraphic.com)
  • Spectral Doppler ultrasonographic waveform of the right hepatic artery in a 60-year-old man, 8 years after orthotopic liver transplantation. (medscape.com)
  • accessory pancreatic or splenic arteries.Objective: To present three cases of accessory right hepatic artery originating from the superior mesenteric artery in black African cadavers as found during routine cadaveric dissections.Materials and Method: The abdomens of 8 adult male black African cadavers were dissected according to the description and guidance by Romanes (1996). (bvsalud.org)
  • The origin of the cystic artery was from the of the cystic artery in Africans is not well right hepatic artery in 125 cases (78%), from documented. (who.int)
  • Annular pancreas coexisting with replaced common hepatic artery which is also a rare anatomical variation has not been reported previously. (hindawi.com)
  • Both annular pancreas and common hepatic artery anomaly are rare. (hindawi.com)
  • However, replaced common hepatic artery (CHA) arising from the superior mesenteric artery (SMA) was reportedly seen in 1.13% of 19,013 cases [ 4 ]. (hindawi.com)
  • a) Three-dimensional computed tomography scan of the abdomen reveals the replaced common hepatic artery arising from the superior mesenteric artery. (hindawi.com)
  • Lupascu C, Andronic D, Ursulescu C, Vasiluta C, Vlad N. Technical tailoring of pancreaticoduodenectomy in patients with hepatic artery anatomic variants. (medigraphic.com)
  • A-1: Magnetic resonance angiogram in a transplantation patient with hepatic artery thrombosis. (medscape.com)
  • Magnetic resonance angiogram of the recipient celiac axis depicts complete occlusion of the hepatic artery. (medscape.com)
  • C-1: Gortex hepatic artery graft thrombosis in a 59-year-old man (shown by arrow). (medscape.com)
  • Occasionally the cystic artery number of cases compared between males arises from the hepatic artery and sometimes and females. (who.int)
  • Doppler ultrasonography of the superior mesenteric artery could discriminate between normal subjects and celiac patients with overt disease. (unicatt.it)
  • usually refers to o. of the superior mesenteric artery, although atherosclerotic narrowing may involve all three major splanchnic branches (celiac, superior, and inferior mesenteric). (theodora.com)
  • Variations in the origin and from the gastroduodenal artery. (who.int)
  • Baltazar U, Dunn J, Floresguerra C. Superior mesenteric artery syndrome: an uncommon cause of intestinal obstruction. (medscape.com)
  • Duodenal obstruction by compression from the superior mesenteric artery (SMA) can be managed using minimally invasive techniques. (journalmc.org)
  • While superior mesenteric artery syndrome is an uncommon cause of small bowel obstruction, the general pediatrician and child psychiatrist should be aware of this complication of anorexia nervosa. (biomedcentral.com)
  • Three years after gastric bypass surgery, she developed SMA thrombosis and mesenteric ischaemia, requiring extensive small bowel and partial colonic resection. (medscape.com)
  • This is a presentation of a 33 year old female who underwent laparoscopic Roux-en-Y gastric bypass in 2006 who developed recurrent pancreatitis and abdominal. (sages.org)
  • When abdominal neoplasms originating from the pancreas or nearby organs locally involving the superior mesenteric artery (SMA), complete resection is still the only hope for cure . (bvsalud.org)
  • To evaluate the influence of duodenal feeding on splanchnic blood flow, 14 patients with normal coeliac and superior mesenteric arteries underwent intra-abdominal duplex scanning of the systemic and splanchnic circulation under standardised basal and meal-stimulated conditions. (utwente.nl)
  • His research interests include the study of TOS, abdominal aortic aneurysm, carotid artery stenosis, and vascular imaging quality improvement. (rochester.edu)
  • Intraoperative findings showed fections, and their clinical prevalence and features are partial abscess formation in the abdominal artery unclear ( 2 , 3 ). (cdc.gov)
  • or compression of the artery by a growing abdominal tumor. (msdmanuals.com)
  • it then descends within the thorax on the left side of the vertebral column, passes into the abdominal cavity through the aortic hiatus in the diaphragm, and ends opposite the lower border of the fourth lumbar vertebra by dividing into the right and left common iliac arteries. (medscape.com)
  • The pancreas is prismoid in shape and appears triangular in cut section, with superior, inferior, and anterior borders as well as anterosuperior, anteroinferior, and posterior surfaces. (medscape.com)
  • Diagnosis is often made on computed tomographic angiography (CTA) where lack of contrast is noted in one or more of the mesenteric vessels. (mhmedical.com)
  • Arteries are the large vessels that carry oxygenated blood away from the heart (except for the pulmonary circuit, in which the arterial blood is deoxygenated). (medscape.com)
  • The arteries, in their distribution, communicate with one another (forming what are called anastomoses) and end in minute vessels, called arterioles, which in their turn open into a close-meshed network of microscopic vessels, termed capillaries, the true deliverers of oxygen and nutrients to the cells. (medscape.com)
  • Variations upper surface of the neck of the gall bladder, in the origin and position of the cystic artery where it divides into superficial and deep from the nearby vessels were noted and the branches [ 6,7 ]. (who.int)
  • Acute mesenteric fischemia may develop on top on chronic mesenteric ischemia due to an underlying atherosclerotic lesion, but may also occur de novo due to an embolic event. (mhmedical.com)
  • Long-Term Value in Open and Endovascular Repair of Chronic Mesenteric Ischemia. (rochester.edu)
  • Survival, Reintervention, and Value of Open and Endovascular Repair for Chronic Mesenteric Ischemia. (rochester.edu)
  • Superior mesenteric artery (SMA) syndrome has been reported as an uncommon condition of external vascular compression of the SMA particularly after rapid weight loss, body casts, or after corrective surgery for spinal deformities, usually within the first few weeks after surgery. (sicot-j.org)
  • This compression results from the loss of fatty tissue, which surrounds the superior mesenteric artery and its neurovascular pedicle. (biomedcentral.com)
  • Acute mesenteric ischemia is a surgical emergency where time is of the essence to avoid full-thickness bowel necrosis and even death. (mhmedical.com)
  • The middle, right, and ileocecal branches anastomose with each other to form a marginal artery along the inner border of the colon. (wikipedia.org)
  • Mesenteric venous branches and lymphatics are carefully ligated and divided. (mhmedical.com)
  • Selective masked injection in the superior mesenteric artery (red arrow) demonstrates a large arterial feeder with tumor staining (white arrows). (medscape.com)
  • Occlusive Peripheral Arterial Disease Occlusive peripheral arterial disease is blockage or narrowing of an artery in the legs (or rarely the arms), usually due to atherosclerosis and resulting in decreased blood flow. (msdmanuals.com)
  • Effect of intraluminal oxygen on endotoxin absorption in experimental occlusion of the superior mesenteric artery. (bmj.com)
  • It descends in front of the vertebral column and ends on the body of the fourth lumbar vertebra, commonly a little to the left of the midline, by dividing into the 2 common iliac arteries. (medscape.com)
  • Gastrointestinal reconstruction by intestinal auto-transplantation after radical resection of neoplasms involving superior mesenteric artery: a preliminary consideration]. (bvsalud.org)
  • The original procedure involved en bloc removal of a tumor together with the intestine , ex vivo resection and reconstruction of gastrointestinal tract by an intestinal autograft . (bvsalud.org)
  • The artery first approach for resection of pancreatic head cancer. (medigraphic.com)
  • The "artery-first" approach may be a useful method for pancreaticoduodenectomy in patients who have an anatomical abnormality. (hindawi.com)
  • Blockage causes symptoms related to the lack of blood flow, including pain, in the area the artery serves. (msdmanuals.com)
  • Fibromuscular Dysplasia Fibromuscular dysplasia is abnormal thickening of the walls of arteries that is not related to atherosclerosis or inflammation but that causes artery narrowing or blockage. (msdmanuals.com)
  • Symptoms of slowly developing blockage vary depending on which artery is involved and the severity of the blockage. (msdmanuals.com)
  • Use of Glycoprotein IIb-IIIa Inhibitors in patients undergoing Carotid Artery Stenting in the Vascular Quality Initiative. (rochester.edu)
  • Cutaneous polyarteritis nodosa (CPN) is an uncommon form of vasculitis of the small-and medium-sized arteries in the reticular dermis and subcutaneous tissue. (annals.edu.sg)
  • Superior mesenteric artery first combined with uncinate process approach versus uncinate process first approach in pancreatoduodenectomy: a comparative study evaluating perioperative outcomes. (medigraphic.com)
  • ABSTRACT The anatomy of the cystic artery is very variable, creating potential problems during sur- gery. (who.int)
  • This study documents variations in the origin of the cystic artery and its location in relation to the biliary ducts among 106 Sudanese people and compared the variations between the sexes and races. (who.int)
  • Statistically significant variations in the origin and position of the cystic artery were found comparing these data with previous studies in Caucasians and Asians. (who.int)
  • Usually the group were obtained from a master sheet cystic artery arises from the right hepatic ar- completed by the surgeons. (who.int)
  • tery, passing behind the common hepatic and The anatomy of the cystic artery and the cystic duct in the Calot triangle, to reach the extrabiliary ducts were examined. (who.int)
  • The cystic artery might be doubled, comparison of proportions. (who.int)
  • Atherosclerosis Atherosclerosis is a condition in which patchy deposits of fatty material (atheromas or atherosclerotic plaques) develop in the walls of medium-sized and large arteries, leading to reduced or. (msdmanuals.com)
  • Pre-existing cardiovascular diseases or coronary artery diseases. (who.int)
  • The coeliac trunk and superior mesenteric vein are obliterated (100% stenosed), massive collateral flow from the enlarged inferior mesenteric vein. (mudr.org)
  • The magnitude of the decrease in blood pressure (BP) induced by carbohydrate, fat, and protein appears to be comparable and results from the interaction of macronutrients with the small intestine, including an observed stimulation of mesenteric blood flow. (nih.gov)
  • Superior mesenteric artery syndrome (SMA) was the cause of gastric dilatation in two of them. (rug.nl)
  • Gastric gastrointestinal stromal tumor (GIST) en face. (medscape.com)
  • Man who underwent Roux-en-Y gastric bypass at age 26, subsequently diagnosed with Crohn's disease, involving jejunum, ileum and colon, at age 42 when he presented with large volume diarrhoea and rectal bleeding. (medscape.com)
  • Woman who underwent Roux-en-Y gastric bypass at age 38 and was subsequently diagnosed with ulcerative proctosigmoiditis at age 44. (medscape.com)
  • Woman with IBD-U (pancolitis), who underwent Roux-en-Y gastric bypass at age 53 and was subsequently diagnosed with IBD at age 55. (medscape.com)
  • Woman who underwent Roux-en-Y gastric bypass at age 40, although was subsequently reversed 1 year later. (medscape.com)
  • The arteries should be surveyed for any signs of atherosclerosis and the bowel examined for any thickening, implying early ischemia or evidence of full-thickness necrosis. (mhmedical.com)
  • The superior mesenteric artery is the most commonly affected, and often the thrombus lodges at the site of the first branch. (mhmedical.com)
  • The patient is positioned supine on the operating table and the entire abdomen and anteromedial thighs should be prepared and draped, in case saphenous vein be needed for mesenteric bypass. (mhmedical.com)
  • CT scan of abdomen showing decreased aorto-mesenteric distance. (journalmc.org)
  • Pain may be in the abdomen, back, or legs, depending on which artery is blocked. (msdmanuals.com)
  • Estudio retrospectivo que incluy a los pacientes con tumor periampular en quienes se realiz una pancreatoduodenectom a (PDD) en el HRAEPY entre enero de 2011 y junio de 2014. (medigraphic.com)
  • 3%). No cases arising from other arteries to the biliary ducts among Sudanese people were noted. (who.int)
  • We herein describe an extremely rare case in which these anomalies coexisted in a patient with ampullary region carcinoma treated by PD with the "artery-first" approach. (hindawi.com)
  • This case illustrates important points regarding the pathogenesis of superior mesenteric artery syndrome in the setting of anorexia, and it highlights the complexities that arise when managing an adolescent with both medical and psychiatric needs, as well as outlining a viable solution. (biomedcentral.com)