A case of superior mesenteric artery syndrome got physicians in trouble.


Journal

Journal of surgical case reports
ISSN: 2042-8812
Titre abrégé: J Surg Case Rep
Pays: England
ID NLM: 101560169

Informations de publication

Date de publication:
Jan 2021
Historique:
received: 04 11 2020
revised: 26 12 2020
accepted: 30 12 2020
entrez: 11 2 2021
pubmed: 12 2 2021
medline: 12 2 2021
Statut: epublish

Résumé

Superior mesenteric artery (SMA) syndrome is a gastrovascular disorder in which the third and final portion of the duodenum is compressed between the abdominal aorta (AA) and the overlying SMA. Our case presents an 11-year-old female with chronic intermittent vomiting that started since she was 6 months old. Contrast enhanced computed tomography scan for abdomen and pelvis guided to the correct diagnosis and the patient received the adequate treatment. Awareness of a broad range of differential diagnosis of vomiting and a high degree of suspicion of SMA syndrome is fundamental in order to direct the proper diagnostic investigation. Duodenojejunostomy provides the best results in severe cases.

Identifiants

pubmed: 33569168
doi: 10.1093/jscr/rjaa613
pii: rjaa613
pmc: PMC7852606
doi:

Types de publication

Case Reports

Langues

eng

Pagination

rjaa613

Informations de copyright

Published by Oxford University Press and JSCR Publishing Ltd. © The Author(s) 2021.

Références

Eur J Radiol. 2012 Aug;81(8):e854-61
pubmed: 22579528
Curr Opin Pediatr. 2001 Feb;13(1):36-41
pubmed: 11176241
J Pediatr Gastroenterol Nutr. 2010 Aug;51(2):177-82
pubmed: 20601910
Abdom Imaging. 2012 Dec;37(6):1079-88
pubmed: 22327421
Euroasian J Hepatogastroenterol. 2014 Jan-Jun;4(1):58-60
pubmed: 29264321
Am J Gastroenterol. 1978 Aug;70(2):141-50
pubmed: 717365
Dig Surg. 2009;26(3):213-4
pubmed: 19468230

Auteurs

Maysaa Badour (M)

Pediatric University Hospital, Division of Gastroenterology, Damascus, Syria.

Gaber Mahmoud (G)

Pediatric University Hospital, Division of Gastroenterology, Damascus, Syria.

Ahmad Hasan (A)

AL-Basel Hospital, Department of Pediatric Surgery, Tartus, Syria.

Walaa Sulaiman (W)

Pediatric University Hospital, Division of Gastroenterology, Damascus, Syria.

Ali Hammed (A)

Tishreen University Hospital, Department of Neurosurgery, Lattakia, Syria.

Classifications MeSH