Gastric perforation on a superior mesenteric artery syndrome: Exceptional case and two-stage treatment

Abstract

Superior mesenteric artery syndrome results from compression of the third duodenum between the upper mesenteric artery and the aorta. It determines an acute or chronic high intestinal obstruction clinical presentation. We report the case of a 37-year-old Moroccan woman, without any particular history, admitted in a table of abdominal contracture with sepsis, abdominal CT scan confirmed a gastric perforation on a mesenteric aorto forceps. Treatment was initial damage control and gastroenteric-anastomosis after hemodynamic stabilization.