Case Report: Superior Mesenteric Artery Syndrome in a Healthy Adolescent

Hotayt Bilal, Alkhatib Amani
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Abstract

Superior mesenteric artery (SMA) or Wilkie’s syndrome is a rare clinical entity of partial or complete duodenal obstruction. The lack of awareness for this phenomenon often results in a delayed diagnosis, yet it can predispose to potentially life-threatening complications. Our case of young female presented for recurrent vomiting and weight loss, the CT scan showed narrow aortomesenteric angle resulting in external compression of the duodenum, other workup including laboratory test and endoscopy were negative. SMA syndrome should be always in the differential diagnosis of unexplained vomiting and weight loss, mainly in the young age group
一例健康青少年的肠系膜上动脉综合征
肠系膜上动脉(SMA)或威尔基综合征是临床上罕见的部分或完全十二指肠梗阻。对这一现象缺乏认识往往会导致诊断延误,但它可能导致潜在的危及生命的并发症。我们的病例是一名年轻女性,以反复呕吐和体重减轻为主要表现,CT扫描显示主动脉肠系膜角度狭窄导致十二指肠外部受压,其他检查包括实验室检查和内镜检查均为阴性。SMA综合征应始终在不明原因呕吐和体重减轻的鉴别诊断中,主要见于年轻年龄组
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