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[The mesenteric artery syndrome].

M Cambiè, L Acerbi, G Bonora

    La Pediatria Medica E Chirurgica : Medical and Surgical Pediatrics
    |March 1, 1983
    PubMed
    Summary
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    Superior mesenteric artery syndrome (SMAS) can occur in adolescents, presenting with anorexia, emesis, and weight loss. This case highlights SMAS associated with body cast application, leading to duodenum obstruction.

    Area of Science:

    • Gastroenterology
    • Pediatric Surgery
    • Radiology

    Background:

    • Superior mesenteric artery syndrome (SMAS) is a rare condition characterized by compression of the third portion of the duodenum by the superior mesenteric artery.
    • It can lead to significant gastrointestinal distress and nutritional compromise, particularly in pediatric patients.

    Observation:

    • A 12-year-old female presented with anorexia, emesis, and substantial weight loss.
    • Physical examination revealed the patient was wearing a body cast.

    Findings:

    • Abdominal radiography, both with and without contrast medium, demonstrated a clear obstruction of the duodenum.
    • The clinical presentation and radiological findings were consistent with superior mesenteric artery syndrome.

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    Implications:

    • This case underscores the potential association between the application of body casts and the development of superior mesenteric artery syndrome in pediatric patients.
    • Early recognition and diagnosis are crucial for effective management and prevention of complications associated with duodenal obstruction.