Superior mesenteric artery syndrome and disseminated tuberculosis: "Double troubleˮ

Dhiraj Bhatkar; Gyanshankar Mishra; Sanjay Gour; Radha Munje

doi:10.1016/j.ijtb.2021.08.019

Superior mesenteric artery syndrome and disseminated tuberculosis: "Double troubleˮ

Indian J Tuberc. 2022 Oct;69(4):702-705. doi: 10.1016/j.ijtb.2021.08.019. Epub 2021 Aug 19.

Authors

Dhiraj Bhatkar¹, Gyanshankar Mishra², Sanjay Gour², Radha Munje²

Affiliations

¹ Department of Respiratory Medicine, Indira Gandhi Government Medical College, Nagpur, India. Electronic address: dr.dhiraj83@gmail.com.
² Department of Respiratory Medicine, Indira Gandhi Government Medical College, Nagpur, India.

PMID: 36460412
DOI: 10.1016/j.ijtb.2021.08.019

Abstract

Superior Mesenteric Artery (SMA) Syndrome is a rare condition characterized by compression of the third part of the duodenum between the aorta and superior mesenteric artery due to decreased angle between these two vessels due to loss of intervening pad of fat. Tuberculosis is one of the causes, and its association with it is rare. However, SMA syndrome with significant gastrointestinal symptoms in TB poses a greater challenge in management, particularly in dissemination. Strong clinical suspicion, timely diagnosis and appropriate antituberculosis therapy are the keys to successful management.

Keywords: Disseminated tuberculosis; Parenteral anti-tuberculous therapy; SMA syndrome.

MeSH terms

Antitubercular Agents / therapeutic use
Humans
Rare Diseases
Superior Mesenteric Artery Syndrome* / complications
Superior Mesenteric Artery Syndrome* / diagnosis
Tuberculosis, Miliary*

Substances

Antitubercular Agents