case_images: PMC4337516_01
case_images: Computed tomography of the abdomen showing gastric and duodenal distention (red arrows) suggestive of small bowel obstruction and narrowing of the angle between the superior mesenteric artery and the abdominal aorta.
case_images: imcrj-8-055Fig1.jpg
case_images: PMC4337516_01_imcrj-8-055Fig1.jpg
case_images: f1-imcrj-8-055
case_images: Subsequently, the patient underwent computed tomography of the abdomen (Figures 1 and 2), which revealed considerable gastric and duodenal distention extending to the level of the third/fourth duodenal segment, suggestive of small bowel obstruction, and narrowing of the angle between the superior mesenteric artery and abdominal aorta (less than 20 , reference angle is 45 -65 ).
case_images: Computed tomography of the abdomen showing gastric and duodenal distention (red arrow) indicating obstruction at the level of the superior mesenteric artery.
case_images: imcrj-8-055Fig2.jpg
case_images: PMC4337516_01_imcrj-8-055Fig2.jpg
case_images: f2-imcrj-8-055
case_images: Subsequently, the patient underwent computed tomography of the abdomen (Figures 1 and 2), which revealed considerable gastric and duodenal distention extending to the level of the third/fourth duodenal segment, suggestive of small bowel obstruction, and narrowing of the angle between the superior mesenteric artery and abdominal aorta (less than 20 , reference angle is 45 -65 ).
case_images: Upper gastrointestinal series. Impression of the third part of the duodenum suggestive of superior mesenteric artery syndrome (red arrow).
case_images: imcrj-8-055Fig3.jpg
case_images: PMC4337516_01_imcrj-8-055Fig3.jpg
case_images: f3-imcrj-8-055
case_images: Treitz with a delayed passage of contrast (Figure 3).