England Jasmin, Li Natasha
Department of Emergency Medicine Children's Health Orange County Orange California USA.
J Am Coll Emerg Physicians Open. 2021 Jun 18;2(3):e12454. doi: 10.1002/emp2.12454. eCollection 2021 Jun.
Decreased intraabdominal fat can lead to intraabdominal compressive syndromes, such as superior mesenteric artery (SMA) syndrome. This phenomenon is rare but should be considered in a patient with recent rapid weight loss and acute gastrointestinal complaints. A delay in diagnosis and treatment can lead to severe complications, such as a gastric rupture. We report a case of SMA syndrome in a teenage male with recent intentional weight loss and intractable emesis, and the possible associations of SMA syndrome and Nutcracker syndrome.
腹腔内脂肪减少可导致腹腔内压迫综合征,如肠系膜上动脉(SMA)综合征。这种现象很少见,但在近期体重快速下降且有急性胃肠道症状的患者中应予以考虑。诊断和治疗的延迟可能导致严重并发症,如胃破裂。我们报告一例青少年男性SMA综合征病例,该患者近期故意减肥并伴有顽固性呕吐,以及SMA综合征与胡桃夹综合征的可能关联。