Open AccessSuperior Mesenteric Artery Syndrome Leading to Acute Gastric Dilatation in a Woman with Bulimia
Author(s) -
Park YS,
Kim JS,
Hwang JY
Publication year - 2011
Publication title -
hong kong journal of emergency medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.145
H-Index - 12
eISSN - 2309-5407
pISSN - 1024-9079
DOI - 10.1177/102490791101800207
Subject(s) - medicine , superior mesenteric artery syndrome , sma* , superior mesenteric artery , abdominal distension , abdominal pain , gastric distension , distension , surgery , radiology , mathematics , combinatorics
Superior mesenteric artery (SMA) syndrome is a rare clinical disease defined as compression of the third part of the duodenum between the aorta and the SMA. Severe complications of SMA syndrome include acute gastric dilatation which is uncommon but potentially fatal and requires immediate intervention. This report describes a 29‐year‐old woman with SMA syndrome complicated by acute gastric dilatation. It was diagnosed by computerized tomography. The patient had a history of treatment of bulimia nervosa but defaulted 3 months ago. She presented with severe abdominal distension and extreme abdominal pain due to massive gastric dilatation after an eating binge. Gastric decompression was successful with a modified gastric lavage tube with additional large holes at the tip.