Kornmehl P, Weizman Z, Liss Z, Bar-Ziv J, Joseph A
Department of Adolescent Medicine, Soroka Medical Center, Beer-Sheva, Israel.
J Adolesc Health Care. 1988 Jul;9(4):340-3. doi: 10.1016/0197-0070(88)90263-x.
Anorexia nervosa is often overdiagnosed in adolescent females with anorexia and extreme weight loss. In some cases, an anorexia nervosa-like illness is due to a treatable organic disorder. We describe a 16-year-old female with anorexia, vomiting, extreme weight loss, and amenorrhea who was referred as an anorexia nervosa case and was subsequently found to have superior mesenteric artery syndrome that was causing a duodenal obstruction. Conservative treatment with oral hypercaloric liquid feeding resulted in optimal weight gain and complete recovery. This syndrome should be considered in adolescents with an anorexia nervosa-like illness associated with vomiting and postprandial epigastric discomfort.
神经性厌食症在患有厌食和极度体重减轻的青春期女性中常常被过度诊断。在某些情况下，类似神经性厌食症的疾病是由可治疗的器质性疾病引起的。我们描述了一名16岁女性，她患有厌食、呕吐、极度体重减轻和闭经，最初被诊断为神经性厌食症，后来发现患有肠系膜上动脉综合征，该综合征导致十二指肠梗阻。口服高热量液体喂养的保守治疗使体重得到了最佳增加并完全康复。对于患有类似神经性厌食症且伴有呕吐和餐后上腹部不适的青少年，应考虑这种综合征。
