Fig. 24

SMA syndrome. A 37-year-old female with no past medical history presented to ED with severe nausea and vomiting. Physical examination revealed a significantly distended abdomen. a Coronally reformatted post-contrast CT image demonstrates a severely distended stomach and proximal duodenum. b Sagittal post-contrast CT image showed markedly decreased aortomesenteric angle and aortomesenteric distance. Findings were found to be consistent with SMA syndrome. Endoscopic study confirmed this diagnosis and revealed no evidence of obstructing endoluminal mass