{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T12:07:30Z","timestamp":1753877250169,"version":"3.41.2"},"reference-count":15,"publisher":"Oxford University Press (OUP)","issue":"6","license":[{"start":{"date-parts":[[2025,5,31]],"date-time":"2025-05-31T00:00:00Z","timestamp":1748649600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,5,31]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Bezoars and superior mesenteric artery (SMA) syndrome are uncommon causes of duodenal obstruction. SMA syndrome is often suspected if radiological features such as reduced aortomesenteric angle and distance are observed. Other pathologies such as an obstructing bezoar should be investigated and treated first before a diagnosis of SMA syndrome is made. In this manuscript, we present a case of an obstructing duodenal bezoar initially misdiagnosed as SMA syndrome, and highlight the importance of thorough upper gastrointestinal endoscopy to the level of the third duodenal segment in all cases of suspected SMA syndrome.<\/jats:p>","DOI":"10.1093\/jscr\/rjaf358","type":"journal-article","created":{"date-parts":[[2025,5,31]],"date-time":"2025-05-31T15:16:03Z","timestamp":1748704563000},"source":"Crossref","is-referenced-by-count":0,"title":["Phytobezoar mimicking superior mesenteric artery syndrome in acute duodenal obstruction: a case report and review of literature"],"prefix":"10.1093","volume":"2025","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3749-1328","authenticated-orcid":false,"given":"Daniel","family":"Ho","sequence":"first","affiliation":[{"name":"Department of Surgery, Westmead Hospital , Corner of Darcy Road and Hawkesbury Road, Westmead, Sydney, NSW 2145 ,","place":["Australia"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christopher B","family":"Nahm","sequence":"additional","affiliation":[{"name":"Department of Surgery, Westmead Hospital , Corner of Darcy Road and Hawkesbury Road, Westmead, Sydney, NSW 2145 ,","place":["Australia"]},{"name":"Surgical Innovations Unit, Westmead Hospital , Corner of Darcy Road and Hawkesbury Road, Westmead, Sydney, NSW 2145 ,","place":["Australia"]},{"name":"Westmead Clinical School, Faculty of Medicine and Health Sciences, The University of Sydney , Corner of Darcy Road and Hawkesbury Road, Westmead, Sydney NSW 2145 ,","place":["Australia"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2025,5,31]]},"reference":[{"key":"2025053111155876600_ref1","doi-asserted-by":"publisher","first-page":"3369","DOI":"10.12998\/wjcc.v11.i15.3369","article-title":"Superior mesenteric artery syndrome: diagnosis and 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Endoscopy"},{"key":"2025053111155876600_ref9","doi-asserted-by":"publisher","first-page":"132","DOI":"10.1016\/j.gastrohep.2008.09.012","article-title":"Coexistence of superior mesenteric artery syndrome and phytobezoar","volume":"32","author":"Hern\u00e1ndez-Gea","year":"2009","journal-title":"Gastroenterol Hepatol"},{"key":"2025053111155876600_ref10","doi-asserted-by":"crossref","first-page":"37","DOI":"10.1186\/1471-230X-14-37","article-title":"Acute gastric dilatation due to a superior mesenteric artery syndrome: an autopsy case","volume":"14","author":"Sato","year":"2014","journal-title":"BMC Gastroenterol"},{"key":"2025053111155876600_ref11","doi-asserted-by":"crossref","first-page":"117","DOI":"10.1186\/s12893-017-0308-9","article-title":"Obstruction in the third portion of the duodenum due to a diospyrobezoar: a case report","volume":"17","author":"Yamagata","year":"2017","journal-title":"BMC Surg"},{"key":"2025053111155876600_ref12","article-title":"case of superior mesenteric artery syndrome associated with acute pancreatitis: 2591","volume":"113","author":"Mehdi","year":"2018","journal-title":"Official Journal of the American College of Gastroenterology | ACG"},{"key":"2025053111155876600_ref13","first-page":"58","article-title":"Popcorn bezoar mimicking superior mesenteric artery syndrome","volume":"2","author":"Gologorsky","year":"2020","journal-title":"ACS Case Reviews in Surgery"}],"container-title":["Journal of Surgical Case 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