PMC5061336_01
A sagittal image of a computed tomography (CT) of abdomen and pelvis with intravenous contrast. Angle represents that angle between the SMA and the aorta.
nihms-811981-f0001.jpg
PMC5061336_01_nihms-811981-f0001.jpg
F1
SMAS with an acute angle (14 ) take off of the SMA causing compression of the left renal vein and the third portion of the duodenum (Figure 1). She was admitted to the hospital for fluid resuscitation and further workup.
PMC5061336_02
A sagittal image of a computed tomography (CT) of abdomen and pelvis with intravenous contrast. Angle represents that angle between the SMA and the aorta.
nihms-811981-f0002.jpg
PMC5061336_02_nihms-811981-f0002.jpg
F2
A CT scan performed in the ED revealed a reduced angle (15 ) between the SMA and aorta causing compression of the duodenum and left renal vein (Figure 2).
PMC5061336_03
An axial image of a computed tomography (CT) of abdomen and pelvis without intravenous contrast.
nihms-811981-f0003.jpg
PMC5061336_03_nihms-811981-f0003.jpg
F3
A CT scan performed in the ED revealed a dilated stomach and dilated proximal duodenum with an abrupt tapering of the duodenum as it crosses the midline (Figure 3).