Year 2013 / Volume 105 / Number 4
Letter to the Editor
Superior mesenteric artery syndrome: Diagnostic and therapeutic considerations

236-238

Kyra V. Kennedy, Rubén Yela, María del Mar Achalandabaso y Elena Martín-Pérez

Abstract
We present a case report of a 25-year-old woman with an unremarkable past medical history that was referred to our clinic following a lifelong complaint of recurrent episodes of postprandial dyspepsia, nausea, epigastric pain and vomiting. These symptoms intensified after suffering an acute gastroenteritis 2 years prior to her presentation that entailed a 6 kg weight loss.
As part of the diagnostic approach, an oesophagogastroduodenoscopy (OGD) was performed, which showed alkaline gastritis with abundant bilious content in the stomach. Barium studies demonstrated the presence of a 0.12 cm vertical vascular impres- sion over the third segment of the duodenum corresponding to the superior mesenteric artery (SMA), as well as a retrograde gas- troduodenal dilation (Fig. 1).
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Kyra V. Kennedy, Rubén Yela, María del Mar Achalandabaso y Elena Martín-Pérez. Superior mesenteric artery syndrome: Diagnostic and therapeutic considerations. 236-238


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