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Wasting away - superior mesenteric artery syndrome in a young girl - a case report
Author(s):
1. Aisha Rehman: Department of Medicine, Khyber Teaching Hospital Peshawar, Pakistan
2. Jamal Shah: Department of Medicine, Khyber Teaching Hospital Peshawar,Pakistan
3. Awais Naeem: Department of Medicine, Khyber Teaching Hospital Peshawar,Pakistan
4. Fahad Naim: Department of Medicine, Khyber Teaching Hospital Peshawar, Pakistan
Abstract:
The case of an 18-year-old girl with Superior Mesenteric Artery syndrome is presented here. She presented to us with complaints of anorexia, nausea, vomiting, and weight loss for the past year. She was cachectic and vol­ume-depleted. All investigations and preliminary imaging were inconclusive. Upper GI endoscopy revealed normal structure up to the second part of the duodenum. Contrast-enhanced Computerized Tomography of the abdomen and pelvis did not reveal any intra- or extra-luminal pathology. The patient was unwilling to undergo surgical cor­rection and opted for conservative treatment. This case highlights the importance of considering SMA syndrome in the differential diagnosis of patients presenting with anorexia and weight loss and emphasizes the changing epidemiology of SMA syndrome.
Page(s): 266-268
Published: Journal: Journal of Postgraduate Medical Institute, Volume: 36, Issue: 4, Year: 2022
Keywords:
Weight loss , Wilkies syndrome , Anorexia Nervosa , Superior Mesenteric Artery Syndrome
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