Abstract
Abdominal pain and vomiting are frequently encountered in the emergency department. We report a 54-year-old man with an uncommon cause of intestinal obstruction – superior mesenteric artery syndrome – who presented with epigastric pain and vomiting. Diagnosis is clinical with radiological confirmation by upper gastrointestinal series or computed tomography scan. Most patients respond to conservative and supportive treatment. A minority may need surgical intervention.
Keywords
References
1.
Biank
V.
,
Werlin
S.
Superior mesenteric artery syndrome in children: a 20-year experience . J Pediatr Gastroenterol Nutr 2006 ; 42 (5 ): 522 –5 .
2.
Dahnert
W.
Radiology review manual. 6th ed. Philadelphia, USA : Lippincott Williams & Wilkins ; c2007 . Ch: Gastrointestinal tract, gastrointestinal disorders; p. 871.
3.
Kwan
E.
,
Lau
H.
,
Lee
F.
Wilkie's syndrome . Surgery 2004 ; 135 (2 ): 225 –7 .
4.
Shetty
A.
,
Hill
I.D.
Superior mesenteric artery syndrome . eMedicine [Internet]. 2006 July 19 [cited 2008 Jul 14]. Available from: http://www.emedicine.com/ped/topic2175.htm
5.
Lippl
F.
,
Hannig
C.
,
Weiss
W.
,
Allescher
H.D.
,
Classen
M.
,
Kurjak
M.
Superior mesenteric artery syndrome: diagnosis and treatment from the gastroenterologist's view . J Gastroenterol 2002 ; 37 (8 ): 640 –3 .
6.
Muhammad
W.
,
Christine
S.
Abdominal pain - an uncommon cause . Pediatr Emerg Care 2004 ; 20 (8 ): 531 –3 .
7.
Avinash
S.K.
,
Eberhard
S.S.
,
Marie-Louise
H.
,
Udall
J.N.
Jr. Radiological case of the Month . Arch Pediatr Adolesc Med 1999 ; 153 (3 ): 303 –4 .