Superior mesenteric artery syndrome masquerading as chronic gastric volvulus in a child with severe acute malnutrition: a case report

Authors

  • M. Mokarram Ali Department of Paediatric Surgery, AIIMS, Patna, India http://orcid.org/0000-0002-2796-0541
  • Amit Kumar Department of Paediatric Surgery, AIIMS, Patna, India
  • Rashi . Department of Paediatric Surgery, AIIMS, Patna, India
  • Amit K. Sinha Department of Paediatric Surgery, AIIMS, Patna, India
  • Bindey Kumar Department of Paediatric Surgery, AIIMS, Patna, India

DOI:

https://doi.org/10.18203/2349-2902.isj20203272

Keywords:

Malnutrition, Paediatric, Recurrent vomiting, Superior mesenteric artery syndrome

Abstract

Superior mesenteric artery (SMA) syndrome is a rare cause of high intestinal obstruction. It is commonly seen in severely malnourished patients presenting with repeated episodes of vomiting. We report a case of SMA syndrome in a 3 years old male child provisionally diagnosed as chronic gastric volvulus with severe acute malnutrition. The diagnosis of SMA syndrome was confirmed on abdominal exploration. SMA syndrome is a rare case of intestinal obstruction in paediatric age group. Chronic malnutrition is one of the common causes of this entity. There should be a high index of suspicion for this syndrome when we encounter a child with severe malnutrition and recurrent vomiting.

Author Biographies

M. Mokarram Ali, Department of Paediatric Surgery, AIIMS, Patna, India

SENIOR RESIDENT

DEPT OF PEDIATRIC SURGERY

Amit Kumar, Department of Paediatric Surgery, AIIMS, Patna, India

SENIOR RESIDENT

DEPT OF PEDIATRIC SURGERY

Rashi ., Department of Paediatric Surgery, AIIMS, Patna, India

SENIOR RESIDENT

DEPT OF PEDIATRIC SURGERY

Amit K. Sinha, Department of Paediatric Surgery, AIIMS, Patna, India

ASSOCIATE PROFESSOR

DEPT OF PEDIATRIC SURGERY

Bindey Kumar, Department of Paediatric Surgery, AIIMS, Patna, India

PROFESSOR

DEPT OF PEDIATRIC SURGERY

References

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Shiu JR, Chao HC, Luo CC, Lai MW, Kong MS, Chen SY, et al. Clinical and nutritional outcomes in children with idiopathic superior mesenteric artery syndrome. J Pediatr Gastroenterol Nutr. 2010;51(2):177-82.

Scovell S, Hamdan A. Superior mesenteric artery syndrome. Upto Date. Waltham, MA: Upto Date; 2015.

Raissi B, Taylor BM, Taves DH. Robotic duodenojejunostomy for superior mesenteric artery syndrome in a teenager. Canadian J Surg. 1996;39:410-6.

Hsu YC, Perng CL, Chen CK, Tsai JJ, Lin HJ. Conservative management of chronic gastric volvulus: 44 cases over 5 years. World J Gastroenterol. 2010;16:4200-5.

Unal B, Aktas A, Kemal G, Bilgili Y, Guliter S, Daphan C, et al. Superior mesenteric artery syndrome: CT and ultrasonography findings. Diagn Interv Radiol. 2005;11:90-5.

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Published

2020-07-23

Issue

Section

Case Reports