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5/27/2026 1:21:55 PM | Browse: 1 | Download: 0
Publication Name World Journal of Gastrointestinal Surgery
Manuscript ID 117565
Country Nicaragua
Received
2025-12-11 01:37
Peer-Review Started
2025-12-11 01:37
First Decision by Editorial Office Director
2026-01-16 07:24
Return for Revision
2026-01-18 22:15
Revised
2026-01-31 03:51
Publication Fee Transferred
Second Decision by Editor
2026-02-24 02:52
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director
2026-02-24 05:21
Articles in Press
2026-02-24 05:21
Edit the Manuscript by Language Editor
Typeset the Manuscript
2026-05-12 01:11
Publish the Manuscript Online
2026-05-27 13:21
ISSN 1948-9366 (online)
Open Access This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Copyright © Author(s) (or their employer(s)) 2026. No commercial re-use. See permissions. Published by Baishideng Publishing Group Inc.
Article Reprints For details, please visit: http://www.wjgnet.com/bpg/gerinfo/247
Permissions For details, please visit: http://www.wjgnet.com/bpg/gerinfo/207
Publisher Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA
Website http://www.wjgnet.com
Category Gastroenterology & Hepatology
Manuscript Type Case Report
Article Title Superior mesenteric artery syndrome and right paraduodenal hernia causing intestinal obstruction during pregnancy: A case report
Manuscript Source Unsolicited Manuscript
All Author List Federico Sacasa, César Ploneda, Misael Cervantes, Brenda Betancourt, Jorge Casal, Jair Bedoya and Wiron Valladares
ORCID
Author(s) ORCID Number
Federico Sacasa http://orcid.org/0009-0006-4799-4278
Funding Agency and Grant Number
Corresponding Author Federico Sacasa, MD, Faculty of Medical Sciences, Universidad Nacional Autónoma de Nicaragua, 2nd North Street, Leon 21000, Nicaragua. federicosacasanic@gmail.com
Key Words Superior mesenteric artery syndrome; Duodenal obstruction; Paraduodenal hernia; Pregnancy; Laparotomy; Case report
Core Tip Superior mesenteric artery syndrome is exceptionally rare, and its coexistence with a right paraduodenal hernia during pregnancy adds diagnostic and operative complexity. In this patient, pregnancy-adapted non-contrast computed tomography identified a right paraduodenal hernia and suggested aortomesenteric duodenal compression, with definitive superior mesenteric artery obstruction established intraoperatively. After internal hernia reduction, operative anatomy permitted a wide, tension-free side-to-side duodeno-duodenostomy - an uncommon but physiologically favorable alternative to duodeno-jejunostomy in this isolated setting. This case underscores the importance of early surgical decision-making, physiology-preserving reconstruction, and selective postoperative endoscopic assessment to safely enable early enteral nutrition in high-risk pregnant patients.
Publish Date 2026-05-27 13:21
Citation

Sacasa F, Ploneda C, Cervantes M, Betancourt B, Casal J, Bedoya J, Valladares W. Superior mesenteric artery syndrome and right paraduodenal hernia causing intestinal obstruction during pregnancy: A case report. World J Gastrointest Surg 2026; 18(5): 117565

URL https://www.wjgnet.com/1948-9366/full/v18/i5/117565.htm
DOI https://dx.doi.org/10.4240/wjgs.v18.i5.117565
Full Article (PDF) WJGS-18-117565-with-cover.pdf
CARE Checklist–2016 117565-CARE-Checklist-2016.pdf
Manuscript File 117565_Auto_Edited_050501-YJP.docx
Answering Reviewers 117565-answering-reviewers.pdf
Audio Core Tip 117565-audio.mp3
Conflict-of-Interest Disclosure Form 117565-conflict-of-interest-statement.pdf
Copyright License Agreement 117565-copyright-assignment.pdf
Signed Consent for Treatment Form(s) or Document(s) 117565-informed-consent-statement.pdf
Non-Native Speakers of English Editing Certificate 117565-non-native-speakers.pdf
Peer-review Report 117565-peer-reviews.pdf
Scientific Misconduct Check 117565-scientific-misconduct-check.png
Scientific Editor Work List 117565-scientific-editor-work-list.pdf
CrossCheck Report 117565-crosscheck-report.pdf