PMC6476019_01
Contrast-enhanced sagittal reconstruction CT scan of superior mesenteric artery (SMA) and its adjacent anatomy shows narrowing of the aortomesenteric angle to less than 15  and distended stomach (*) and full of fluids loops of the small intestine.
CRIGM2019-3458601.001.jpg
PMC6476019_01_CRIGM2019-3458601.001.jpg
fig1
However, because of persistent symptoms, abdominal CT angiography was obtained, which revealed a decrease in aortic and superior mesenteric artery and aortomesenteric angle consequently to 5 mm and 14 degrees suggestive for superior mesenteric syndrome along with a gastric and duodenal dilation [Figure 1].