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This case report aims to highlight the challenges in diagnosing superior mesenteric artery syndrome, which can mimic chronic gastritis.

Delayed diagnosis of vascular compression syndrome mimicking chronic gastritis: a case report

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This case report aims to highlight the challenges in diagnosing superior mesenteric artery syndrome, which can mimic chronic gastritis.
Case presentation of a 23-year-old woman with chronic upper abdominal symptoms
Initial treatments for gastritis and subsequent imaging with contrast-enhanced CT
Surgical intervention with open duodenojejunostomy after conservative treatment failed.
The aorto–mesenteric angle measured 14° and the distance was 3.6 mm, confirming SMA syndrome.
Pelvic congestion and SMA thrombosis were also identified during imaging.
Following surgery, symptoms resolved completely and the patient regained weight.

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Case report reveals that early imaging can improve diagnosis and treatment of SMA syndrome in young adults.

Acharya et al. (2026) studied this question.

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