Superior mesenteric artery syndrome in a healthy active adolescent.
BMJ Case Rep
; 12(8)2019 Aug 26.
Article
em En
| MEDLINE
| ID: mdl-31451453
ABSTRACT
This report discusses a case of superior mesenteric artery (SMA) syndrome in a previously healthy 15-year-old boy with no weight loss or other common risk factors. The patient presented to the emergency department with acute bilious vomiting and epigastric pain after acute consumption of a meal and excessive quantities of water. The patient was diagnosed with SMA syndrome based on the findings of contrasted CT of the abdomen. In early puberty, boys have a significant increase in lean body mass and a concomitant loss of adipose tissues. These pubertal changes lead to a narrowing of the aortomesenteric space. The acute consumption of food and water caused a transient obstruction at the already-narrowed space, which resulted in the manifestation of SMA syndrome. This case demonstrates that pubertal growth spurt is a risk factor for SMA syndrome, and acute excessive ingestion can trigger SMA syndrome among those in puberty.
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Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Síndrome da Artéria Mesentérica Superior
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Bulimia
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Tomografia Computadorizada por Raios X
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Puberdade
Idioma:
En
Ano de publicação:
2019
Tipo de documento:
Article