Delayed-Onset Superior Mesenteric Artery Syndrome Presenting as Oesophageal Peptic Stricture

Delayed-Onset Superior Mesenteric Artery Syndrome Presenting as Oesophageal Peptic Stricture

Superior mesenteric artery (SMA) syndrome is an infrequent cause of vomiting and weight loss due to compression of the third part of the duodenum by the SMA. We describe the case of a 17-year-old woman, admitted to our department for progressive dysphagia and severe weight loss due to an oesophageal...

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Bibliographic Details
Main Authors: Emanuele Sinagra, Luigi Maria Montalbano, Cristina Linea, Marco Giunta, Lorenzo Tesè, Francesco La Seta, Giuseppe Malizia, Ambrogio Orlando, Marta Marasà, Gennaro D'Amico
Format: Article
Language:English
Published: Karger Publishers 2012-02-01
Series:Case Reports in Gastroenterology
Subjects:
Chronic acid reflux
Superior mesenteric artery syndrome
Oesophageal dilatation
Online Access:http://www.karger.com/Article/FullText/336278
Description
Summary:Superior mesenteric artery (SMA) syndrome is an infrequent cause of vomiting and weight loss due to compression of the third part of the duodenum by the SMA. We describe the case of a 17-year-old woman, admitted to our department for progressive dysphagia and severe weight loss due to an oesophageal peptic stricture, caused by chronic acid reflux secondary to duodenal compression by the SMA. Symptoms improved after (par)enteral nutrition and repeated oesophageal dilatation, thus supporting the role of intensive medical and endoscopic intervention as an alternative to surgery, at least in some cases.
ISSN:1662-0631

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