Ugras Meltem, Bicer Suat, Coskun Fatma Tugba, Romano Endi, Ekci Baki
Yeditepe University Faculty of Medicine, Department of Child Health and Pediatrics, Istanbul, Turkey.
Yeditepe University Faculty of Medicine, Department of General Surgery, Istanbul, Turkey.
Turk J Emerg Med. 2017 Jan 31;17(2):70-72. doi: 10.1016/j.tjem.2017.01.001. eCollection 2017 Jun.
Superior mesenteric artery syndrome was observed in an adolescent patient. He had a 1-day history of nausea, vomiting, and abdominal pain, without chronic or recurrent symptoms. Diagnosis was established by abdominal plain x-ray, contrast enhanced abdominal computed tomography, and endoscopic examination. The patient was hospitalized, monitorized, and decompressed by nasogastric tube without oral feeding. The symptoms of the patient were gradually relieved by conservative treatment and he was discharged after one week. Clinicians should be careful when facing upper gastrointestinal symptoms that are resistant and non-responsive to treatment, and this syndrome should be kept in mind. This case is presented to draw attention to this disease because of its rare incidence.
一名青少年患者被诊断出患有肠系膜上动脉综合征。他有1天的恶心、呕吐和腹痛病史,无慢性或复发性症状。通过腹部平片、腹部增强CT和内镜检查确诊。患者住院,进行监测,并通过鼻胃管减压,禁止经口进食。经保守治疗,患者症状逐渐缓解,一周后出院。临床医生在面对对治疗有抵抗性且无反应的上消化道症状时应谨慎,应牢记这种综合征。由于该疾病发病率罕见,现展示此病例以引起对它的关注。