Increase Body Weight to Treat Superior Mesenteric Artery Syndrome

Overview

Journal BMJ Case Rep

Specialty General Medicine

Date 2017 Jun 4

PMID 28576908

Citations 3

Authors

Miguel Nico Albano

Carlos Costa Almeida

Joao Mendes Louro

Guillermo Martinez

Affiliations

Soon will be listed here.

Abstract

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.

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