Case Report: PDF OnlyUnusual Complication of Superior Mesenteric Artery Syndrome: Spontaneous Upper Gastrointestinal Bleeding with Hypovolemic ShockKo, Kai-Hsiunga; Tsai, Shih-Hungb; Yu, Chih-Yunga; Huang, Guo-Shua; Liu, Chang-Hsiena; Chang, Wei-Choua, *Author Information aDepartment of Radiology, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan, R.O.C. bDepartment of Emergency Medicine, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan, R.O.C. *Correspondence to: Dr Wei-Chou Chang, Department of Radiology, Tri-Service General Hospital, 325, Section 2, Cheng-Kung Road, Taipei 114, Taiwan, R.O.C. E-mail: [email protected] Received: January 23, 2008; • Accepted: August 29, 2008. Journal of the Chinese Medical Association: January 2009 - Volume 72 - Issue 1 - p 45-47 doi: 10.1016/S1726-4901(09)70020-6 Metrics Abstract Superior mesenteric artery (SMA) syndrome is an unusual form of duodenal obstruction. Complications of SMA syndrome may sometimes develop and are usually associated with marked gastric dilatation, although most complications can be corrected by supportive treatment. In this article, we report a case of severe SMA syndrome with hypovolemic shock in a 24-year-old man. Multidetector-row computed tomography with reconstructed images was performed to establish the diagnosis. Spontaneous gastrointestinal bleeding is an extremely uncommon complication of SMA syndrome, and emergent surgical intervention was unavoidable in our patient. To our knowledge, no other such case has been reported in the English-language literature. © 2009 by Lippincott Williams & Wilkins, Inc.