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superior mesenteric artery eating disorder

Sakshi Sahni, Malan Shiralkar, Safra Mohamed, Robert Carroll, Barbara Jung, Ron Gaba, Cemal Yazici
Superior mesenteric artery (SMA) syndrome is a rare cause of small bowel obstruction (SBO) resulting from compression of the duodenum by the SMA. Patients at risk of developing SMA syndrome include those who have experienced rapid weight loss from chronic illnesses, malignancy, bariatric surgery, eating disorders, burns, trauma, or substance abuse. We present the case of a 54-year-old cachectic female patient who presented with sudden onset nausea, vomiting, and severe epigastric pain. Imaging studies revealed distention of the stomach and proximal portion of the duodenum with abrupt narrowing of the third part of the duodenum consistent with SMA syndrome...
November 18, 2017: Curēus
G C Kirby, E R Faulconer, S J Robinson, A Perry, R Downing
INTRODUCTION The superior mesenteric artery (SMA) syndrome, or Wilkie's syndrome, is a rare cause of postprandial epigastric pain, vomiting and weight loss caused by compression of the third part of the duodenum as it passes beneath the proximal superior mesenteric artery. The syndrome may be precipitated by sudden weight loss secondary to other pathologies, such as trauma, malignancy or eating disorders. Diagnosis is confirmed by angiography, which reveals a reduced aorto-SMA angle and distance, and contrast studies showing duodenal obstruction...
July 2017: Annals of the Royal College of Surgeons of England
Dinusha Chandratilleke, Anthea Anantharajah, Mauro Vicaretti, Warwick Benson, Lucinda J Berglund
BACKGROUND: Large vessel vasculitis is a rare disorder usually occurring in the context of the autoimmune conditions of giant cell arteritis and Takayasu's arteritis. Case reports have described large vessel vasculitis occurring in individuals with myelodysplastic syndrome, preceding transformation to acute myeloid leukemia. CASE PRESENTATION: A 56-year-old Afghanistan-born woman presented with fever, a tender left carotid artery, and raised inflammatory markers...
March 16, 2017: Journal of Medical Case Reports
Yasuhiro Sato, Shin Fukudo
The two most clinically serious eating disorders are anorexia nervosa and bulimia nervosa. A drive for thinness and fear of fatness lead patients with anorexia nervosa either to restrict their food intake or binge-eat then purge (through self-induced vomiting and/or laxative abuse) to reduce their body weight to much less than the normal range. A drive for thinness leads patients with bulimia nervosa to binge-eat then purge but fail to reduce their body weight. Patients with eating disorders present with various gastrointestinal disturbances such as postprandial fullness, abdominal distention, abdominal pain, gastric distension, and early satiety, with altered esophageal motility sometimes seen in patients with anorexia nervosa...
October 2015: Clinical Journal of Gastroenterology
Jessica L Record, Brian G Morris, Vincent R Adolph
BACKGROUND: Superior mesenteric artery (SMA) syndrome is an uncommon condition resulting in partial small bowel obstruction because of external compression of the third portion of the duodenum between the SMA anteriorly and the aorta posteriorly. SMA syndrome often presents with postprandial nausea, bilious vomiting, and abdominal pain with associated weight loss. Onset of symptoms can be acute (occurring in the setting of rapid weight loss because of trauma/surgery) or can be vague and chronic over many years...
2015: Ochsner Journal
Zhuo Sun, John Rodriguez, John McMichael, R Matthew Walsh, Sricharan Chalikonda, Raul J Rosenthal, Matthew D Kroh, Kevin El-Hayek
BACKGROUND: Superior mesenteric artery syndrome (SMAS) is a disorder characterized by vascular compression of the duodenum leading to mechanical obstruction. Surgical intervention is indicated in patients who fail standard non-operative management, in which duodenojejunostomy is favored based on previous small series. Given the rarity of the condition, knowledge of the optimal indications for surgery, risk of postoperative complications, and prognosis of SMAS after minimally invasive duodenojejunostomy is limited...
May 2015: Surgical Endoscopy
Deepak Louis, Kanya Mukhopadhyay, Kushaljit Singh Sodhi, Vanita Jain, Praveen Kumar
OBJECTIVE: To study SMA Doppler for predicting feed intolerance and necrotizing enterocolitis (NEC) in preterm SGA neonates with umbilical artery absent/reversed end diastolic flow (A/REDF). STUDY DESIGN: Prospective study. PATIENTS: SGA neonates <36 weeks born with antenatally diagnosed A/REDF formed cases. Those with normal Doppler formed controls. Primary outcomes were feed intolerance and NEC. Peak systolic velocity, end diastolic velocity (EDV), time-averaged mean velocity, pulsatility index and resistive index (RI) were measured in SMA Doppler done postnatally on days 1 and 5...
December 2013: Journal of Maternal-fetal & Neonatal Medicine
Shireene R Vethakkan, Yogeswari Venugopal, Alexander T B Tan, Sharmila S Paramasivam, Jeyakantha Ratnasingam, Rohaya A Razak, Azmi Alias, Fauziah Kassim, Karen Choong
OBJECTIVE: To report a case of superior mesenteric artery (SMA) syndrome secondary to hypothalamic germinoma. METHODS: We describe the clinical presentation, diagnostic work-up, management, and clinical course of a patient admitted with SMA syndrome who was subsequently found to have a hypothalamic germinoma. RESULTS: An adolescent boy was admitted to the surgical ward with progressive weight loss over a 2 year period and postprandial vomiting...
January 2013: Endocrine Practice
M Goto, M Matsuzaki, A Fuchinoue, N Urabe, N Kawagoe, I Takemoto, H Tanaka, T Watanabe, T Miyazaki, M Takeuchi, Y Honda, K Nakanishi, Y Urita, N Shimada, H Nakajima, M Sugimoto, T Goto
An 83-year-old woman was referred to our emergency department with acute urticaria and sudden shortness of breath approximately 30 min after taking rectal diclofenac potassium for lumbago. After treatment with adrenaline and corticosteroids, the patient became hemodynamically stable and left the hospital on the next day. She attended our hospital 1 week after the onset of anaphylaxis because of repeated postprandial epigastric pain. No abnormal lesions were found in endoscopy. Radiographic selective catheter angiography revealed chronic mesenteric ischemia caused by atherosclerosis and abundant collateral arteries between the celiac trunk, the superior mesenteric artery and the inferior mesenteric artery...
May 2012: Case Reports in Gastroenterology
Karen Gwee, Andrew Teh, Chia Huang
OBJECTIVE: The aim of this paper is to describe the presentation and clinical management of a patient with anorexia nervosa complicated by superior mesenteric artery syndrome and pancreatitis, and discuss the association between these conditions. METHOD: We present a case report and briefly review the relevant literature. RESULTS: A 17-year-old girl with undiagnosed anorexia nervosa presented acutely with abdominal symptoms and vomiting. After numerous investigations, she was diagnosed with the rare condition of superior mesenteric artery syndrome and pancreatitis, leading to a prolonged hospital admission and management on both an acute medical/surgical ward and an eating disorders unit...
December 2010: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
Megan A Moreno, Mark Scott Smith
This is a clinical presentation of a 14-year-old female who had weight loss and vomiting following spinal fusion surgery. Her case was complicated by social and behavioral issues. After an initial diagnosis of atypical eating disorder, an upper gastrointestinal study revealed superior mesenteric artery syndrome. Her course continued to be complicated until consistent follow-up with a nutritionist was established.
December 2006: Journal of Adolescent Health: Official Publication of the Society for Adolescent Medicine
Hiroshi Ikegaya, Makoto Nakajima, Kaori Shintani-Ishida, Koichi Uemura, Ken-ichi Yoshida
OBJECTIVE: A 30-year-old woman with a 2-year history of bulimia nervosa and severe abdominal pain after excessive food consumption visited our emergency room. Her abdomen showed marked generalized distension. METHOD: Aspiration of the gastric contents was not successful, and despite efforts to resuscitate her, the patient died. RESULT: An autopsy showed a markedly distended stomach containing approximately 6,500 ml of solid foods. The aortomesenteric distance was <1...
May 2006: International Journal of Eating Disorders
Kassem A Barada, Cecilio R Azar, Aghiad O Al-Kutoubi, Rami S Harb, Youssef M Hazimeh, Jaber S Abbas, Munir K Khani, Hassen A Al-Amin
OBJECTIVE: Massive gastric dilatation is a very serious condition that is extremely rare in patients with no history of gastrointestinal disease. Several cases have been reported in patients with eating disorders, particularly after a binge. We report here the case of a young woman who developed severe gastric dilatation after a single binge. METHODS: A computed tomographic (CT) scan of the abdomen was done and a psychiatric evaluation was performed. RESULTS: The diagnosis of acute gastric dilatation was confirmed and superior mesenteric artery syndrome was excluded...
March 2006: International Journal of Eating Disorders
David Y Lo, Julia L Yen, Michael P Jones
A 26-year-old female with a diagnosis of anorexia nervosa was admitted and found to have massive gastric dilation and gastric necrosis. Imaging studies suggested the possibility of superior mesenteric artery (SMA) syndrome. She was successfully managed with prompt gastric decompression and was able to resume oral nutrition. Gastric dilation and necrosis may be seen in anorexia nervosa as either an independent event or an SMA syndrome. The SMA syndrome may also be present as either an incidental finding or a true pathophysiologic entity...
August 2004: Nutrition in Clinical Practice
Muhammad Waseem, Christine Salvatore
No abstract text is available yet for this article.
August 2004: Pediatric Emergency Care
Halper, MacKenzie
A 14-year-old Asian female presented with complaints of abdominal pain that was intermittent, crampy, periumbilical, without radiation, and aggravated by eating. She had been vomiting "green-colored" material 4 days earlier, after meals, associated with abdominal pain. On hospital day 3, after no improvement was noted, an upper GI series demonstrated an obstruction at the third portion of the duodenum. She was evaluated for an eating disorder, but further history failed to elicit diagnostic criteria. She responded favorably to total parenteral nutrition and symptoms were relieved with changes in position...
October 1996: Adolescent Medicine
D E Adson, J E Mitchell, S W Trenkner
OBJECTIVE: The pathophysiology and symptomatology of the superior mesenteric artery syndrome (SMA syndrome) is discussed. METHOD: A review of much of the available literature concerning the SMA syndrome and the associated condition acute gastric dilatation is offered. RESULTS: Two new cases of acute gastric dilatation in patients with eating disorders, one of whom was diagnosed with SMA syndrome, are presented, along with a discussion of these conditions in reference to the eating disorders...
March 1997: International Journal of Eating Disorders
W B Wadlington, M Rose, G W Holcomb
We have reported the case of a mildly retarded woman in whom an obsessive-compulsive disorder of hair eating (trichophagia) had begun between 2 and 3 years of age. Over the next 30 years, multiple complications of trichophagia included trichobezoars, malnutrition, intestinal obstruction, and ulceration with bleeding. One of the bouts of intestinal obstruction was associated with the superior mesenteric artery blocking the duodenum. This complication has not been reported previously in this disorder. The patient's trichotillomania (hair pulling) was treated with psychotherapy, behavior modification, and various medications, without success...
October 1992: Southern Medical Journal
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