RESUMO
We report the case of a 48 year old man presented with a 4 month history of vomiting and weight loss. Barium studies and upper gastrointestinal endoscopy demonstrated anteriomesenteric duodenal occlusion. We discuss the possible aetiology and significance of his investigation findings and subsequent management.(AU)
Assuntos
Adulto , Relatos de Casos , Humanos , Masculino , Síndrome da Artéria Mesentérica Superior/terapia , Síndrome da Artéria Mesentérica Superior/diagnóstico , Estrongiloidíase/complicações , Tiabendazol/uso terapêutico , Trinidad e TobagoRESUMO
A patient who lost 15 kg in weight while recovering from severe brain injury stated vomiting after 7 weeks. Barium meal confirmed vascular compression of the duodenum as the cause of his vomiting. Vomiting persisted in spite of high calorie liquid feeds and hyperalimentation. Duodenojejunostomy, performed 4 weeks later, cured his vomiting occurs in the severely brain-injured patient with weight loss, and indeed in any patient with prolonged recumbency and weight loss (AU)
