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Case Report

JCDR. 2015; 6(4): 194-196


Mesenteric Artery Stenosis Presenting as Severe Erosive Gastroduodenitis: A Rare Case Report With Long Term Follow-Up

Ramesh Dwarakaprasad, Huliyurdurga Srinivasa Setty Natraj Setty, Kumarswamy, Sunil Kumar, Guruprasad, Yeriswamy Mogalahally Channabasappa and Cholenahalli Nanjappa Manjunath.


Abstract

Superior Mesenteric artery ischemia is a rare condition with serious clinical
consequences. It may be caused by either mechanical or non mechanical
obstruction of the artery. These patients usually present with recurrent
abdominal pain usually occurring after meals. We report a 45 yr old male,
who presented with pain abdomen and epigastric burning sensation which
increases with food consumption from the past 6 months. Patient was
evaluated and was found to have severe erosive Gastroduodenitis which
was secondary to superior mesenteric artery stenosis diagnosed on CT
Abdomen. Patient underwent successful Superior Mesenteric Artery
(SMA) stenting. Repeat upper gastrointestinal endoscopy during follow up
after 1 year showed complete resolution of the duodenal mucosa and was
asymptomatic.

Key words: Superior mesenteric artery stenosis, Duodenal ischemia, pain abdomen, Stenting.






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