Superior mesenteric artery syndrome and intra-abdominal compartment syndrome in systemic lupus erythematosus

Bedaiwi, M; Alkubeyyer, Metab; Arfaj, AS Al

doi:10.1177/0961203313517150

Cited by 5 publications

(3 citation statements)

References 11 publications

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“…Superior mesenteric artery syndrome as a complication of SLE with significant weight loss, however, has only been reported once in the virtually accessible literature. Unlike our patient, this previously reported case presented a patient with an acute exacerbation of lupus, leading to weight loss and SMA syndrome [ 3 ].…”

Section: Discussionmentioning

confidence: 68%

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Superior Mesenteric Artery Syndrome in Systemic Lupus Erythematosus

Bradley,

Trivedi,

Brockman

et al. 2023

Cureus

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Although the gastrointestinal (GI) manifestations of systemic lupus erythematosus (SLE) are relatively less reported, they are common and occur in approximately half of individuals with SLE. These symptoms vary and include, but are not limited to, oral ulceration, dysphagia, nausea, vomiting, diarrhea, abdominal pain, and intestinal perforation. Gastrointestinal manifestations are often triggered by an inciting event, such as an infection or the side effects of medication. This case report presents a rare GI-related SLE complication, namely superior mesenteric artery syndrome.

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Section: Discussionmentioning

confidence: 68%

“…However, SLE patients can present with more severe complications, including mesenteric vasculitis or ischemia, intestinal pseudo-obstruction, and hepatic and pancreatic involvement, too. Superior mesenteric artery (SMA) syndrome is an example of a more severe complication that is seldom reported in the scientific literature [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

Superior Mesenteric Artery Syndrome in Systemic Lupus Erythematosus

Bradley,

Trivedi,

Brockman

et al. 2023

Cureus

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“…Definite SMAS has been described in a 32-year-old female with newly diagnosed systemic lupus erythematosus (SLE) presenting with serositis, lupus enteritis, nephritis, and cerebritis [ 23 ]. She developed SMAS following significant weight loss of 10 kg over three months at initial presentation.…”

Section: Discussionmentioning

confidence: 99%

Superior Mesenteric Artery Syndrome: A Potentially Fatal but Reversible Gastrointestinal Manifestation of Systemic Sclerosis

Chua

Wansaicheong

Lim

et al. 2020

Case Reports in Rheumatology

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Superior mesenteric artery syndrome (SMAS) is a rare gastrointestinal disorder characterised by vascular compression of the third part of the duodenum, in the angle between the superior mesenteric artery (SMA) and the abdominal aorta. It presents as an uncommon cause of upper gastrointestinal obstruction. In patients with systemic sclerosis (SSc), gastrointestinal involvement may result in oesophageal dysmotility, gastroesophageal reflux disease (GERD), gastroparesis, small intestinal bacterial overgrowth (SIBO), chronic intestinal pseudoobstruction (CIPO), and fecal incontinence. Malnutrition may thus result in weight loss and reduced mesenteric and retroperitoneal adipose tissue, decreasing the angle between the SMA and aorta causing SMAS. Enteral or parenteral feeding can potentially reverse SMAS in SSc. We report a case of SMAS in an elderly female with SSc and concurrent gastrointestinal involvement, and discuss the important management considerations and potential adverse outcomes when untreated.

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Late-onset superior mesenteric artery syndrome four years following scoliosis surgery – a case report

Oyoun

Kadhim

Dormans

2015

SICOT-J

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Background: Superior mesenteric artery (SMA) syndrome has been reported as an uncommon condition of external vascular compression of the SMA particularly after rapid weight loss, body casts, or after corrective surgery for spinal deformities, usually within the first few weeks after surgery. Methods: This is a retrospective report of a case of a non-verbal autistic female patient who started to develop SMA syndrome at the age of 16, 4 years after posterior spinal fusion surgery for scoliosis. She was treated conservatively by increasing oral caloric intake, which resulted in increased body weight and relief of symptoms. Results: Seen at 10 years’ follow up, the patient is doing well, and is functional within the limits of her suboptimal cognitive and verbal conditions. She maintains good trunk balance with solid spinal fusion and intact instrumentation at latest follow up. Conclusion: Spinal surgeons should maintain a high index of suspicion for diagnosis of SMA syndrome even years after scoliosis surgery, especially for patients with communication problems, like the case we present here. Appropriate conservative measures can succeed in relieving the symptoms, increasing body weight, and preventing complications including the risk of death.

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Superior mesenteric artery syndrome and intra-abdominal compartment syndrome in systemic lupus erythematosus

Cited by 5 publications

References 11 publications

Superior Mesenteric Artery Syndrome in Systemic Lupus Erythematosus

Superior Mesenteric Artery Syndrome in Systemic Lupus Erythematosus

Superior Mesenteric Artery Syndrome: A Potentially Fatal but Reversible Gastrointestinal Manifestation of Systemic Sclerosis

Late-onset superior mesenteric artery syndrome four years following scoliosis surgery – a case report

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