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Síndrome de la arteria mesentérica superior complicada
Raja Alqandouz1, Afra A Mohamed2, Saba Sharafuddin2
1Internal Medicine, Hamad General Hospital, Doha, QAT.
Cureus
|December 15, 2025
Resumen
El síndrome de la arteria mesentérica superior (SMA), una rara compresión duodenal, complicó a este paciente joven
Área de la Ciencia:
- Gastroenterología y Medicina Interna
- Reumatología e Inmunología
Sus antecedentes:
- El síndrome de la arteria mesentérica superior (SMA) es una afección rara caracterizada por la compresión duodenal entre la SMA y la aorta.
- Típicamente se presenta con síntomas obstructivos, a menudo en personas jóvenes y delgadas.
- Los trastornos del tejido conectivo pueden presentarse con manifestaciones multisistémicas, lo que complica el diagnóstico y el manejo.
Objetivo del estudio:
- Informar un caso raro de síndrome de la arteria mesentérica superior complicada.
- Destacar los desafíos diagnósticos y las complejidades del manejo del síndrome de SMA en pacientes con trastornos del tejido conectivo.
Principales métodos:
- Presentación de un informe de caso.
- Revisión de la presentación clínica, el estudio diagnóstico y el manejo de un paciente joven con esclerodermia limitada y síndrome de SMA.
Principales resultados:
- El paciente presentó dolor abdominal, saciedad temprana y pérdida de peso significativa.
- La afección se complicó con el desarrollo de enfisema.
- Este caso subraya la naturaleza intrincada del manejo del síndrome de SMA en el contexto de enfermedades sistémicas del tejido conectivo.
Conclusiones:
- El síndrome de SMA en pacientes con trastornos del tejido conectivo presenta desafíos diagnósticos y de manejo únicos.
- La afectación multisistémica, como el enfisema en este caso, requiere un enfoque integral.
- El reconocimiento temprano y la atención integrada son cruciales para resultados favorables.
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