Superior Mesenteric Artery Syndrome as a Presenting Sign of Inflammatory Bowel Disease

Superior Mesenteric Artery Syndrome and Nutcracker Syndrome as the Presentation of Crohn’s Disease in a Young Patient: A Case Report and Review of Literature

“…The diagnosis of CD was rendered in this case based on the abnormal findings in the MRE and biopsies obtained. Wong et al (14) described the use of esophagogastroduodenoscopy as part of the evaluation in a pediatric patient with an uncertain etiology of SMA until a final diagnosis of CD was made. Conservative treatment with bowel decompression, hydration, and nutritional support are the mainstays of management for patients with upper gastrointestinal obstruction caused by SMAS and NCS (2,(5)(6)(7)(8)(9).…”

“…The diagnosis of CD was rendered in this case based on the abnormal findings in the MRE and biopsies obtained. Wong et al ( 14 ) described the use of esophagogastroduodenoscopy as part of the evaluation in a pediatric patient with an uncertain etiology of SMA until a final diagnosis of CD was made.…”

“…SMAS has been described in patients with Crohn's disease (CD) (14,15), and both SMAS and NCS were described in pediatric patients (5)(6)(7)(8)16). However, none of the reports included patients with both syndromes as the initial presentation of CD.…”