Superior mesenteric artery syndrome in a diabetic patient with acute weight loss

Figure 1 Abdominal X-ray showing a distended stomach with air fluid level in the stomach and duodenal bulb. The “Double bubble sign” was consistent with high small bowel obstruction.

Figure 2 Computed tomography (CT) scan showing distended stomach and 2nd portion of duodenum (A); The angle between aorta and superior mesenteric artery (SMA) was 16. 6° (B).

Figure 3 Upper gastrointestinal series showing an abrupt cut-off (short arrows) at the third portion of the duodenum.