{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T12:06:11Z","timestamp":1753877171046,"version":"3.41.2"},"reference-count":20,"publisher":"Oxford University Press (OUP)","issue":"7","license":[{"start":{"date-parts":[[2024,7,20]],"date-time":"2024-07-20T00:00:00Z","timestamp":1721433600000},"content-version":"vor","delay-in-days":19,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,7,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Superior mesenteric artery (SMA) syndrome is a rare cause of proximal bowel obstruction due to duodenal compression by the SMA. The morbidity and mortality associated with delayed diagnosis and its complications make it an important differential cause for bowel obstruction. We report a case of mega-stomach secondary to SMA syndrome requiring total gastrectomy. An 18-year-old male presented with vomiting, abdominal pain and shock after a buffet. Computed tomography (CT) imaging revealed a grossly distended stomach (113 \u00d7 187 \u00d7 350mm) and a transition point at the third part of the duodenum, along with pneumatosis and portal venous gas. Emergency gastroscopy showed blood and necrotic mucosa. Laparotomy confirmed full thickness necrosis and the patient underwent a total gastrectomy with Roux-en-Y reconstruction. Postoperatively, he had a brief intensive care stay and recovered without complications. This case underscores the importance of considering SMA syndrome during presentations of acute gastric dilatation.<\/jats:p>","DOI":"10.1093\/jscr\/rjae463","type":"journal-article","created":{"date-parts":[[2024,7,20]],"date-time":"2024-07-20T20:15:20Z","timestamp":1721506520000},"source":"Crossref","is-referenced-by-count":0,"title":["Necrotic mega-stomach from superior mesenteric artery syndrome"],"prefix":"10.1093","volume":"2024","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5491-1307","authenticated-orcid":false,"given":"Andrew","family":"Tse","sequence":"first","affiliation":[{"name":"Department of Surgery, St Vincent\u2019s Hospital Sydney , 390 Victoria St, Darlinghurst, Sydney, New South Wales, 2010 , Australia"},{"name":"St Vincent\u2019s Clinical School, University of New South Wales , 390 Victoria St, Darlinghurst, Sydney, NSW, 2010 , Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Natalie","family":"Phan","sequence":"additional","affiliation":[{"name":"Faculty of Medicine , Nursing and Health Sciences, , Wellington Rd, Clayton, Melbourne, Victoria, 3800 , Australia"},{"name":"Monash University , Nursing and Health Sciences, , Wellington Rd, Clayton, Melbourne, Victoria, 3800 , Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Salah","family":"Ayoubi","sequence":"additional","affiliation":[{"name":"Department of Surgery, St Vincent\u2019s Hospital Sydney , 390 Victoria St, Darlinghurst, Sydney, New South Wales, 2010 , Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Douglas","family":"Fenton-Lee","sequence":"additional","affiliation":[{"name":"Department of Surgery, St Vincent\u2019s Hospital Sydney , 390 Victoria St, Darlinghurst, Sydney, New South Wales, 2010 , Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2024,7,20]]},"reference":[{"key":"2024072020150688800_ref1","doi-asserted-by":"crossref","first-page":"149","DOI":"10.1159\/000102097","article-title":"Recalling superior mesenteric artery syndrome","volume":"24","author":"Welsch","year":"2007","journal-title":"Dig Surg"},{"key":"2024072020150688800_ref2","doi-asserted-by":"crossref","first-page":"284","DOI":"10.5223\/pghn.2023.26.5.284","article-title":"Gastric Pneumatosis and its Gastrofibroscopic findings in life-threatening superior mesenteric artery syndrome complicated by anorexia nervosa in a child","volume":"26","author":"Seo","year":"2023","journal-title":"Pediatr Gastroenterol Hepatol Nutr"},{"key":"2024072020150688800_ref3","doi-asserted-by":"crossref","first-page":"e10757","DOI":"10.1097\/MD.0000000000010757","article-title":"Case report of gastric distension due to superior mesenteric artery syndrome 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