Superior mesenteric artery syndrome: A classic presentation of a rare entity.

Superior mesenteric artery syndrome: A classic presentation of a rare entity.

Tharu S;Tharu B;Mahgoub M;Khalid MU;Ahmed A

Cureus

2020

2020-08-24

A 32-year-old female with a past medical history of constipation (predominant irritable bowel syndrome (IBS) and gastro-esophageal reflux disease (GERD)) presented with a complaint of pain in the lower abdomen. She lost 20 pounds in three months with a current body mass index (BMI) of 19.5 kg/m2 (ref: normal level 18.5-24.9). Computed tomography (CT) of the abdomen with contrast showed very little intra-abdominal fat, enlarged proximal duodenum, and decreased aorto-mesenteric angle of 15.4 0 suggestive of superior mesenteric artery (SMA) syndrome. Per general surgery, the patient was managed conservatively: initially Nil Per Os (NPO), slowly transitioned to a clear liquid diet, soft diet, and solid diet. She tolerated the diet, improved clinically, and was discharged home. (Copyright © 2020, Tharu et al.)

anorexia nervosa; rapid weight loss; sma; superior mesenteric artery; superior mesenteric artery syndrome

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journalArticle

e9990

8

12

2168-8184

NEOMED College of Medicine

Department of Internal Medicine

September 2020 List