Superior Mesenteric Artery Syndrome: Weight Loss Can Be a Problem, Weight Gain Can Be a Solution
| Autor: | Ana Sofia Alvarenga, Mariana C. Abreu, Miguel Campos, Paula Guerra, Céu Espinheira, Maria Garcia |
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| Rok vydání: | 2016 |
| Předmět: |
Weight loss
medicine.medical_specialty Nausea 030230 surgery Adolescents Asymptomatic Epigastric pain 03 medical and health sciences 0302 clinical medicine medicine Superior mesenteric artery syndrome Weight gain Pelvis General Environmental Science business.industry Gastroenterology medicine.disease Clinical Case Study Diet Surgery medicine.anatomical_structure Vomiting General Earth and Planetary Sciences 030211 gastroenterology & hepatology medicine.symptom business |
| Zdroj: | GE Portuguese Journal of Gastroenterology |
| ISSN: | 2387-1954 2341-4545 |
| DOI: | 10.1159/000450898 |
| Popis: | Introduction: Superior mesenteric artery syndrome (SMAS) is a rare acquired disorder, which in the present case had an acute and unusual way of presentation. Case Report: We present a 17-year-old female with nausea, vomiting, and intense epigastric pain. In the previous 6 months, she had lost 42% of her body weight. The echography showed a distended stomach that reached the pelvis, and the nasogastric tube that was placed drained 2,000 mL. A computed tomography scan confirmed the SMAS diagnosis. She started a hypercaloric fractionated meal diet, prokinetics, and postural measures. After the 1-year follow-up the patient is asymptomatic. Conclusion: This acute presentation is rare but life-threatening due to the possibility of gastric rupture. Medical management is possible in the majority of cases, and surgery is needed only in the refractory ones. |
| Databáze: | OpenAIRE |
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