Lal Karishma, Khetpal Akash, Ali Mallick Muhammad Saad, Godil Ansab, Adam Arsalan Majeed, Memon Zahid Ali
Medical Student, The Aga Khan University Hospital.
Medical Students, Dow University of Health Sciences (DUHS).
J Pak Med Assoc. 2018 Mar;68(3):503-506.
We report an unusual case of an 18-year old woman, who presented to Civil Hospital Karachi in May 2016 with complaints of vomiting, abdominal pain, dysphagia, altered bowel habits, loss of appetite and chronic weight loss. On examination, abdomen was found to be soft and non-tender with discomfort on breathing. CT angiogram revealed reduction of aortomesenteric angle and aortomesenteric distance which were both consistent with superior mesenteric artery syndrome. Reduction in angle was thought to be because of weight loss and adipose tissue depletion so patient was started on enteral and parenteral nutritional supplements. Upon seeing little to no improvement, duodenojejunostomy was performed and patient was kept under observation. Nutritional supplements were continued. The after procedure course was uneventful.
我们报告了一例不同寻常的病例，患者为一名18岁女性，于2016年5月就诊于卡拉奇市民医院，主诉有呕吐、腹痛、吞咽困难、排便习惯改变、食欲不振和慢性体重减轻。检查时发现腹部柔软，无压痛，但呼吸时会感到不适。CT血管造影显示肠系膜上动脉夹角和肠系膜上动脉距离减小，这两者均符合肠系膜上动脉综合征。夹角减小被认为是由于体重减轻和脂肪组织消耗所致，因此患者开始接受肠内和肠外营养补充剂治疗。在观察到几乎没有改善后，进行了十二指肠空肠吻合术，并对患者进行观察。继续给予营养补充剂。术后过程顺利。
