Projects

Superior mesenteric artery syndrome: A tough nut to crack–A rare complication in the management of oligometastatic colorectal carcinoma

Groups and Associations Sreedhar Jayakrishnan Cherulil, KP Sreelesh, KG Ramakrishnan
Annals of Oncology Research and Therapy 2024

The superior mesenteric artery (SMA) syndrome is a rare cause of intestinal obstruction. However, conditions associated with rapid weight loss, including malignancy, burns, bariatric surgery, and trauma, can precipitate the syndrome. Recognition of the syndrome requires a high index of suspicion and a multidisciplinary approach in conjunction with the radiologist. Here, we present the case of a patient with metastatic colon cancer, who developed symptoms of abdominal pain and hematuria after undergoing a local ablative procedure for liver metastases. He was extensively evaluated, in view of a history of abdominal pain in the supine position and relieved in the prone position, along with a history of similar complaints following an earlier colectomy procedure and a history of weight loss. In view of this unusual symptom complex coupled with the radiologic findings on the ultrasound, he underwent a barium …

Book