Unusual presentation of superior mesenteric artery syndrome in a child

Tewari, Shruti; Sharma, Rahul Deo; Bangar, Anant; Redkar, Rajeev

doi:10.1136/bcr-2021-246041

Cited by 2 publications

(2 citation statements)

References 12 publications

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“…SMAS is a rare condition that affects 0.013% to 4.7% of patients as a result of the compression of the third portion of the duodenum between the abdominal aorta and superior mesenteric artery 2. The condition is more common in females ages 10 to 39 years and has a prevalence of 0.01% to 0.3% in children 3…”

Section: Discussionmentioning

confidence: 99%

“…2 The condition is more common in females ages 10 to 39 years and has a prevalence of 0.01% to 0.3% in children. 3 Radiographically, this compression is noted as an aortomesenteric angle, measured at the point between the aorta and branching of the superior mesenteric artery, of less than 22 degrees. An aortomesenteric distance of less than 8 mm between the aorta and superior mesenteric artery also can be indicative of SMAS.…”

Section: Discussionmentioning

confidence: 99%

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What is causing this teen's abdominal pain and weight loss?

Sams¹,

Terracino²

2022

Jaapa

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CASEA 16-year-old girl presented to the gastroenterology offi ce for evaluation of a 5-month history of postprandial upper left quadrant pain, weight loss, nausea, and vomiting.History Two months ago, the patient was seen by a pediatric gastroenterologist, who referred her to an adolescent medicine physician for a feeding tube evaluation. The adolescent medicine physician decided that the patient did not need a feeding tube because she could still eat solids and her bloodwork, including complete blood cell count, basic metabolic panel, hepatic function panel, and thyroid-stimulating hormone, was unremarkable. Though some abnormalities were found on gastrointestinal (GI) imaging, it was concluded that the symptoms were more likely a result of an eating disorder, but not typical anorexia. The patient was advised to eat small meals and referred to a nutritionist.During her visit with the nutritionist, she was provided with the recommended daily fat, protein, and carbohydrate intake and was instructed to see an eating disorder specialist. Despite the patient's attempt to follow these recommendations, she continued to experience nausea, vomiting, and left upper quadrant pain. As a result, the patient sought care from another gastroenterologist.At the current visit, she said that her symptoms were intermittent, and she described the pain as aching and a feeling of fullness with periods of sharp pain. The patient rated her pain as a 2 on a 0-to-10 pain intensity rating scale, and said the pain was worsened by food and fl uids (specifi cally red meats and vegetables). She was better-able to tolerate processed foods. The patient said she lost 15 lb (6.8 kg) due to an inability to hold down food. Although the nausea was worse after meals, it was also present intermittently throughout the day with no other specifi c triggers. Vomiting occurred every other day, and abdominal pain was constant throughout the day with postprandial What is causing this teen's abdominal pain and weight loss? David Alan Sams, Jr., PA-C; Brooke Terracino, PA-C FIGURE 1. Radiographs of the case patient demonstrating idiopathic scoliosis (A, B) and results of anterior scoliosis corrective surgery (C)

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

What is causing this teen's abdominal pain and weight loss?

Sams¹,

Terracino²

2022

Jaapa

View full text Add to dashboard Cite

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Association of Wilkie's Syndrome and Myasthenia Gravis: Case Presentation and Literature Review

Vera Miranda,

Vega Chanalata,

Alberca Bonila

et al. 2024

Salud, Ciencia y Tecnología

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Introducción: El manejo conjunto del Síndrome de Wilkie y la miastenia gravis presenta desafíos únicos. Destaca la complejidad de estas condiciones: el Síndrome de Wilkie implica compresión duodenal por la arteria mesentérica superior, mientras que la miastenia gravis afecta la transmisión neuromuscular. Presentación de Caso: Presentamos el caso de una mujer joven de 26 años que se presenta con antecedente de miastenia gravis y desarrolla abruptamente disfagia descubriéndose posteriormente el pinzamiento aortomesentérico conocido como síndrome de Wilkkie. Se enfatiza la necesidad de un enfoque multidisciplinario para integrar tratamientos gastroenterológicos y neurológicos, adaptándose a las complicaciones potenciales como la debilidad muscular que puede dificultar la gestión del Síndrome de Wilkie. Conclusiones: La coordinación interdisciplinaria es crucial para mejorar los resultados clínicos y la calidad de vida de los pacientes, subrayando la importancia de futuras investigaciones para optimizar el manejo integral de estas enfermedades complejas.

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Unusual presentation of superior mesenteric artery syndrome in a child

Cited by 2 publications

References 12 publications

What is causing this teen's abdominal pain and weight loss?

What is causing this teen's abdominal pain and weight loss?

Association of Wilkie's Syndrome and Myasthenia Gravis: Case Presentation and Literature Review

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