WASTING AWAY – SUPERIOR MESENTERIC ARTERY SYNDROME IN A YOUNG GIRL – A CASE REPORT

Main Article Content

Aisha Rehman
Jamal Shah
Awais Naeem
Fahad Naim

Abstract

The case of an 18-year-old girl with Superior Mesenteric Artery syndrome is presented here. She presented to us with complaints of anorexia, nausea, vomiting, and weight loss for the past year. She was cachectic and volume-depleted. All investigations and preliminary imaging were inconclusive. Upper GI endoscopy revealed normal structure up to the second part of the duodenum. Contrast-enhanced Computerized Tomography of the abdomen and pelvis did not reveal any intra- or extra-luminal pathology. The patient was unwilling to undergo surgical correction and opted for conservative treatment. This case highlights the importance of considering SMA syndrome in the differential diagnosis of patients presenting with anorexia and weight loss and emphasizes the changing epidemiology of SMA syndrome.

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How to Cite
1.
Rehman A, Shah J, Naeem A, Naim F. WASTING AWAY – SUPERIOR MESENTERIC ARTERY SYNDROME IN A YOUNG GIRL – A CASE REPORT. J Postgrad Med Inst [Internet]. 2022 Dec. 31 [cited 2024 Jun. 17];36(4):266-8. Available from: https://www.jpmi.org.pk/index.php/jpmi/article/view/3083
Section
Case Report

References

Badour M, Mahmoud G, Hasan A, Sulaiman W, Hammed A. A case of superior mesenteric artery syndrome got physicians in trouble. J Surg Case Rep. 2021;2021(1):rjaa613. DOI:10.1093/jscr/rjaa613.

Merrett ND, Wilson R, Cosman P, Biankin AV. Superior mesenteric artery syndrome: diagnosis and treatment strategies. J Gastrointest Surg. 2009;13(2):287-92. DOI:10.1007/s11605-008-0695-4.

Santer R, Young C, Rossi T, Riddlesberger M. Computed tomography in superior mesenteric artery syndrome. Pediatr Radiol. 1991;21(2):154-5. DOI:10.1007/BF02015638.

Ylinen P, Kinnunen J, Höckerstedt K. Superior mesenteric artery syndrome. A follow-up study of 16 operated patients. J Clinical Gastroenterol.1989;11(4):386-91.

Wilkie B. Chronic duodenal ileus. Am J Med Sci. 1927;173:643-50.

Welsch T, Büchler MW, Kienle P. Recalling superior mesenteric artery syndrome. Dig Surg. 2007;24(3):149-56. DOI:10.1159/000102097.

Srisajjakul S, Prapaisilp P, Bangchokdee S. Imaging features of vascular compression in abdomen: Fantasy, phenomenon, or true syndrome. Indian J Radiol Imaging. 2017;27(02):216-24. DOI: 10.4103/ijri.IJRI_7_17.

Al Faqeeh AA, Syed MK, Ammar M, Almas T, Syed S. Wilkie's syndrome as a rare cause of duodenal obstruction: perspicacity is in the radiological details. Cureus. 2020;12(9) e10467. DOI: 10.7759/cureus.10467.

Froese AP, Szmuilowicz J, Bailey JD. The superior-mesenteric-artery syndrome: cause or complication of anorexia nervosa? Can Psychiatr Assoc J. 1978;23(5):325-7. DOI: 10.1177/070674377802300508.

Nugent FW, Braasch JW, Epstein H. Diagnosis and surgical treatment of arteriomesenteric obstruction of the duodenum. JAMA. 1966;196(12):1091-3.

Niaz Z, Chaudhary FA, Gardazi JR. Superior mesenteric artery syndrome: an uncommon cause of upper intestinal obstruction. J Coll Physicians Surg Pak. 2006;16(10):666-8. DOI: 10.2005/ JCPSP.666668.

Rehman A, Saeed A, Shaukat T, Jamil K, Zaidi AH, Abdullah K. Wilkie’s syndrome. J Coll Physicians Surg Pak. 2011;21(1):43-5.