Superior Mesenteric Artery Syndrome: A Potentially Fatal but Reversible Gastrointestinal Manifestation of Systemic Sclerosis
Autor: | Bernard Yu-Hor Thong, Gervais Khin-Lin Wansaicheong, Wee-Chian Lim, Choon-Guan Chua |
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Jazyk: | angličtina |
Rok vydání: | 2020 |
Předmět: |
030203 arthritis & rheumatology
medicine.medical_specialty business.industry Abdominal aorta Case Report Diseases of the musculoskeletal system General Medicine medicine.disease Enteral administration Gastroenterology 03 medical and health sciences 0302 clinical medicine medicine.anatomical_structure RC925-935 Gastrointestinal disorder Internal medicine medicine.artery Small intestinal bacterial overgrowth medicine Duodenum 030211 gastroenterology & hepatology Superior mesenteric artery Gastroparesis business Superior mesenteric artery syndrome |
Zdroj: | Case Reports in Rheumatology Case Reports in Rheumatology, Vol 2020 (2020) |
ISSN: | 2090-6897 2090-6889 |
Popis: | Superior mesenteric artery syndrome (SMAS) is a rare gastrointestinal disorder characterised by vascular compression of the third part of the duodenum, in the angle between the superior mesenteric artery (SMA) and the abdominal aorta. It presents as an uncommon cause of upper gastrointestinal obstruction. In patients with systemic sclerosis (SSc), gastrointestinal involvement may result in oesophageal dysmotility, gastroesophageal reflux disease (GERD), gastroparesis, small intestinal bacterial overgrowth (SIBO), chronic intestinal pseudoobstruction (CIPO), and fecal incontinence. Malnutrition may thus result in weight loss and reduced mesenteric and retroperitoneal adipose tissue, decreasing the angle between the SMA and aorta causing SMAS. Enteral or parenteral feeding can potentially reverse SMAS in SSc. We report a case of SMAS in an elderly female with SSc and concurrent gastrointestinal involvement, and discuss the important management considerations and potential adverse outcomes when untreated. |
Databáze: | OpenAIRE |
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