Assessment of the relationship between intraabdominal fat thickness and the aortomesenteric angle and distance using computed tomography
Abstract
Objective: The aim of this study is to evaluate the effect of visceral fat thickness on the distance and angle between the superior mesenteric artery (SMA) and the aorta in the normal population.
Method: The aortomesenteric distance and retroperitoneal fat thickness (RFT) were measured on an axial plane, and the aortomesenteric angle and mesenteric fat thickness (MFT) were measured on a sagittal plane using multidetector computed tomography (MDCT). The relationships between MFT, RFT and aortomesenteric angle and distance were evaluated.
Results: There was a weak/moderate, significant and positive correlation between aortomesenteric angle and MFT and RFT (r = 0,396, p<0.001 and r = 0,494, p<0.001, respectively). There was also a moderate, significant and positive correlation between aortomesenteric distance and RFT and MFT (r = 0,607, p<0.001 and r = 0,633, p<0.001, respectively).
Conclusion: The aortomesenteric distance and angle correlate with the retroperitoneal and mesenteric fat thickness. According to the results, retroperitoneal and mesenteric fat thickness may be used as an CT marker to help diagnose suspected SMAS in addition to the measurements of the aortomesenteric distance and angle.
Keywords
References
- 1. Gustafsson L, Falk A, Lukes PJ, Gamklou R. Diagnosis and treatment of superior mesenteric artery syndrome. Br J Surg. 1984; 71: 499-501.
- 2. Alsulaimy M, Tashiro J, Perez EA, Sola JE. Laparoscopic Ladd’s procedure for superior mesenteric artery syndrome. J Pediatr Surg. 2014; 49: 1533-35.
- 3. Applegate GR, Cohen AJ. Dynamic CT in superior mesenteric artery syndrome. J Comput Assist Tomogr 1988; 12: 976-80
- 4. Ahmed AR, Taylor I. Superior mesenteric artery syndrome. Postgrad Med 1997; 73:776-8.
- 5. Baltazar U, Dunn J, Floresguerra C, Schmidt L, Browder W. Superior mesenteric artery syndrome: an uncommon cause of intestinal obstruction. South Med J 2000; 93: 606-8.
- 6. Cohen LB, Field SP, Sachar DB. The superior mesenteric artery syndrome: the disease that isn’t or is it? J Clin Gastroenterol 1985; 7: 113-6.
- 7. Jani PG. Superior mesenteric artery syndrome: case report. East Afr Med J 2003; 80: 334-6.
- 8. Matheus CO, Waisberg J, Toledo Zewer MH, Godoy AC. Syndrome of duodenal compression by the superior mesenteric artery following restorative proctocolectomy. A case report and review of literature. Sao Paulo Med J 2005; 123: 151-3.
Details
Primary Language
English
Subjects
Health Care Administration
Journal Section
Research Article
Publication Date
December 18, 2017
Submission Date
September 23, 2017
Acceptance Date
December 4, 2017
Published in Issue
Year 2017 Volume: 39 Number: 4