Salehzadeh F, Samadi Ali, Mirzarahimi M
Pediatric Rheumatology, Bou-Ali Children's Hospital, Ardabil University of Medical Sciences (ARUMS), Ardabil, Iran.
Bou-Ali Children's Hospital, Ardabil University of Medical Sciences (ARUMS), Ardabil, Iran.
Case Rep Gastrointest Med. 2019 Apr 8;2019:3458601. doi: 10.1155/2019/3458601. eCollection 2019.
Superior mesenteric artery syndrome (SMAS) occurs when the duodenum is compressed between the two arteries, superior mesenteric artery and aorta. The complications of this rarely found disorder in children range from causing trouble in duodenal functions to intestinal obstruction which is potentially life-threatening.
Here we are reporting a case of SMAS in a 6-year-old girl with the complaint of chronic abdominal pain since 3 years. She suffered from growth failure, while different workups were negative. Ultimately, imaging investigations detected superior mesenteric artery syndrome as an etiologic background. In the additional investigations, it is found that she suffered from celiac disease.
We concluded that the inflammatory nature of the celiac disease can affect the anatomy of the duodenum beyond its mucosal surface in the mesenteric fat tissue and results in SMAS.
当十二指肠被肠系膜上动脉和主动脉这两条动脉压迫时，会发生肠系膜上动脉综合征（SMAS）。这种在儿童中罕见疾病的并发症范围从导致十二指肠功能障碍到可能危及生命的肠梗阻。
在此，我们报告一例6岁女孩的SMAS病例，该女孩自3年前起就主诉慢性腹痛。她患有生长发育迟缓，而各种检查结果均为阴性。最终，影像学检查发现肠系膜上动脉综合征是病因。在进一步检查中，发现她患有乳糜泻。
我们得出结论，乳糜泻的炎症性质可影响十二指肠在肠系膜脂肪组织中黏膜表面以外的解剖结构，从而导致SMAS。
