TY - JOUR
T1 - Superior mesenteric artery syndrome in an 18-year old female
T2 - Case report
AU - Lal, Karishma
AU - Khetpal, Akash
AU - Mallick, Muhammad Saad Ali
AU - Godil, Ansab
AU - Adam, Arsalan Majeed
AU - Memon, Zahid Ali
N1 - Publisher Copyright:
© 2018, Pakistan Medical Association. All rights reserved.
PY - 2018/3
Y1 - 2018/3
N2 - We report an unusual case of an 18-year old woman, who presented to Civil Hospital Karachi in May 2016 with complaints of vomiting, abdominal pain, dysphagia, altered bowel habits, loss of appetite and chronic weight loss. On examination, abdomen was found to be soft and non-tender with discomfort on breathing. CT angiogram revealed reduction of aortomesenteric angle and aortomesenteric distance which were both consistent with superior mesenteric artery syndrome. Reduction in angle was thought to be because of weight loss and adipose tissue depletion so patient was started on enteral and parenteral nutritional supplements. Upon seeing little to no improvement, duodenojejunostomy was performed and patient was kept under observation. Nutritional supplements were continued. The after procedure course was uneventful.
AB - We report an unusual case of an 18-year old woman, who presented to Civil Hospital Karachi in May 2016 with complaints of vomiting, abdominal pain, dysphagia, altered bowel habits, loss of appetite and chronic weight loss. On examination, abdomen was found to be soft and non-tender with discomfort on breathing. CT angiogram revealed reduction of aortomesenteric angle and aortomesenteric distance which were both consistent with superior mesenteric artery syndrome. Reduction in angle was thought to be because of weight loss and adipose tissue depletion so patient was started on enteral and parenteral nutritional supplements. Upon seeing little to no improvement, duodenojejunostomy was performed and patient was kept under observation. Nutritional supplements were continued. The after procedure course was uneventful.
KW - Aortomesenteric angle
KW - Aortomesenteric distance
KW - Ligament of Treitz
KW - Superior meseneteric artery syndrome
UR - http://www.scopus.com/inward/record.url?scp=85042676859&partnerID=8YFLogxK
M3 - Article
C2 - 29540902
AN - SCOPUS:85042676859
SN - 0030-9982
VL - 68
SP - 503
EP - 506
JO - Journal of the Pakistan Medical Association
JF - Journal of the Pakistan Medical Association
IS - 3
ER -