Superior mesenteric artery syndrome in a 16-year-old with bilious emesis.

Abstract:

:Superior mesenteric artery (SMA) syndrome describes vascular compression of the third portion of the duodenum and presents with nausea, postprandial vomiting, and epigastric abdominal pain. The syndrome is rare and may be missed if appropriate radiologic studies are not performed or the clinical presentation is atypical. The clinical contexts in which SMA syndrome develops usually involve rapid weight loss, alterations in spine anatomy, or external increases in abdominal pressure. Diagnostic methods for identifying duodenal obstruction by the SMA include upper gastrointestinal barium contrast studies, computed tomography scans, or angiography of the aorta with either contrast or magnetic resonance angiography. Medical therapy relies upon nutritional rehabilitation with either jejunal tube feedings or parenteral nutrition until weight gain results in relief of the obstruction. In instances where this approach fails, surgical correction is necessary, most often with laparoscopic duodenojejunostomy.

journal_name

Curr Opin Pediatr

authors

Kurbegov A,Grabb B,Bealer J

doi

10.1097/MOP.0b013e32833c4947

subject

Has Abstract

pub_date

2010-10-01 00:00:00

pages

664-7

issue

5

eissn

1040-8703

issn

1531-698X

journal_volume

22

pub_type

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