Duodenal compression by the mesenteric artery

Abstract

In the presence of the triad of belching, bloating, and borborygmus, especially if accompanied by midepigastric discomfort, vomiting, and constipation, and if symptoms are chronic and recurring, compression of the duodenum by the superior mesenteric artery must be considered. Two cases are reported, one in a premature newborn infant, where total obstruction was present, and one in a 14-year-old girl, where distress had been present from birth. Management is suggested. The condition may be less rare than previously assumed and, if there are longstanding complaints of dyspepsia, this condition should be ruled out. In the presence of the triad of belching, bloating, and borborygmus, especially if accompanied by midepigastric discomfort, vomiting, and constipation, and if symptoms are chronic and recurring, compression of the duodenum by the superior mesenteric artery must be considered. Two cases are reported, one in a premature newborn infant, where total obstruction was present, and one in a 14-year-old girl, where distress had been present from birth. Management is suggested. The condition may be less rare than previously assumed and, if there are longstanding complaints of dyspepsia, this condition should be ruled out.