{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,29]],"date-time":"2026-06-29T09:46:30Z","timestamp":1782726390892,"version":"3.54.5"},"reference-count":17,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,6,29]],"date-time":"2026-06-29T00:00:00Z","timestamp":1782691200000},"content-version":"vor","delay-in-days":179,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Case Reports in Gastrointestinal Medicine"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Superior mesenteric artery (SMA) syndrome is a rare condition resulting from compression of the third segment of the duodenum. The condition is associated with a reduction of the aortomesenteric angle and distance between the SMA and the abdominal aorta, often due to weight loss or anatomical changes. The Nuss procedure, a minimally invasive corrective procedure for pectus excavatum, may inadvertently alter this anatomy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case Presentation<\/jats:title>\n                    <jats:p>We report a case of a 22\u2010year\u2010old male with a history of pectus excavatum who presented with two weeks of abdominal pain and vomiting. Abdominal A CT scan and esophagogastroduodenoscopy examinations were performed, revealing duodenal compression with a narrowed aortomesenteric distance of 6\u2009mm, which is consistent with SMA syndrome. The patient then underwent laparoscopic duodenojejunostomy anastomosis bypass after failed conservative management with complete symptom resolution.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Clinicians should be aware of the potential development of SMA syndrome in patients following the Nuss procedure. Monitoring nutritional status and prompt evaluation of gastrointestinal symptoms are essential to early diagnosis and intervention.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1155\/crgm\/2887106","type":"journal-article","created":{"date-parts":[[2026,6,29]],"date-time":"2026-06-29T09:15:27Z","timestamp":1782724527000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Superior Mesenteric Artery Syndrome After Previous Nuss Procedure: A Case Report of Anatomical Realignment With Unintended Consequences"],"prefix":"10.1155","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-3074-0838","authenticated-orcid":false,"given":"Pin Wen","family":"Wang","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9591-407X","authenticated-orcid":false,"given":"Chun-Hsiang","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2252-0640","authenticated-orcid":false,"given":"Hui-Ting","family":"Hsu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-8013-5020","authenticated-orcid":false,"given":"Yi-Wei","family":"Chou","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,6,29]]},"reference":[{"key":"e_1_2_10_1_2","doi-asserted-by":"publisher","DOI":"10.12998\/wjcc.v11.i15.3369"},{"key":"e_1_2_10_2_2","doi-asserted-by":"publisher","DOI":"10.2214\/ajr.13.11598"},{"key":"e_1_2_10_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.tjem.2017.01.001"},{"key":"e_1_2_10_4_2","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.61532"},{"key":"e_1_2_10_5_2","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.9715"},{"key":"e_1_2_10_6_2","doi-asserted-by":"publisher","DOI":"10.1159\/000431307"},{"key":"e_1_2_10_7_2","doi-asserted-by":"publisher","DOI":"10.1053\/jpsu.2001.20707"},{"key":"e_1_2_10_8_2","volume-title":"Seminars in Pediatric Surgery","author":"Kelly Jr, R. 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C.","family":"Machado","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]}],"short-title":[],"issued":{"date-parts":[[2026,1]]},"references-count":17,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,1]]}},"alternative-id":["10.1155\/crgm\/2887106"],"URL":"https:\/\/doi.org\/10.1155\/crgm\/2887106","archive":["Portico"],"relation":{},"ISSN":["2090-6528","2090-6536"],"issn-type":[{"value":"2090-6528","type":"print"},{"value":"2090-6536","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1]]},"assertion":[{"value":"2025-10-07","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-06-12","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-06-29","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"2887106"}}