Increase body weight to treat superior mesenteric artery syndrome.
| Autor: | Albano MN; Centro Hospitalar de Coimbra, Cirurgia C, Coimbra, Portugal., Costa Almeida C; Centro Hospitalar de Coimbra, Cirurgia C, Coimbra, Portugal., Louro JM; CHUC, HG, Coimbra, Coimbra, Portugal., Martinez G; Centro Hospitalar de Coimbra, Cirurgia C, Coimbra, Portugal. |
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| Jazyk: | angličtina |
| Zdroj: | BMJ case reports [BMJ Case Rep] 2017 Jun 02; Vol. 2017. Date of Electronic Publication: 2017 Jun 02. |
| DOI: | 10.1136/bcr-2017-219378 |
| Abstrakt: | Introduction: Superior mesenteric artery (SMA) syndrome is a rare cause of duodenal obstruction resulting from vascular compression of the third part of the duodenum in the angle between the abdominal aorta and SMA. Case Presentation: A 19-year-old woman with anorexia nervosa with upper gastrointestinal obstruction symptoms resorted to the emergency department. A diagnosis of SMA syndrome was made. Symptoms were solved with conservative treatment aimed at increase body weight. Discussion: SMA syndrome is most commonly associated with debilitating illnesses. Patients present with acute or insidious upper gastrointestinal obstruction symptoms. Aortomesenteric artery angle of ≤25° is the most sensitive measure of diagnosis. Advances in both enteral and parenteral nutrition led to a shift towards conservative treatment. Conclusions: Low threshold of suspicion is important to make a timely diagnosis and treatment. A conservative treatment aimed at increasing body weight is the first-line approach, leaving surgical intervention for failure cases. Competing Interests: Competing interests: None declared. (© BMJ Publishing Group Ltd (unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted.) |
| Databáze: | MEDLINE |
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