Superior Mesenteric Artery Syndrome

Rizvon, Kaleem; Perlman, Theodore M.; Mustacchia, Paul; Karakurum, Ali S.

doi:10.14309/00000434-200509001-00528

Cited by 1 publication

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“…Long-term use of kratom is known to cause poor appetite, gastrointestinal discomfort and weight loss [5]. In the literature, there are reported cases of SMA syndrome caused by heroin abuse, which similarly binds to opioid receptors [6]. SMA syndrome could also be found among post-corrective scoliosis surgery patients due to increased tension on the mesentery after lengthening the spine [3].…”

Section: Discussionmentioning

confidence: 99%

Superior Mesenteric Artery Syndrome as an Atypical Aetiology of Upper Intestinal Obstruction in a Young Adult

Cheong

Nadarajan²

2023

TIJ

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Superior mesenteric artery (SMA) syndrome is an uncommon cause of proximal intestinal obstruction in young adults. Weight loss is one of the most significant aetiology of this condition. In young patients presenting with post-prandial abdominal pain, abdominal distension, nausea, anorexia and voluminous vomiting, the diagnosis of superior mesenteric artery syndrome should be considered. These symptoms are due to compression of the third part of the duodenum against the aorta by the overlying superior mesenteric artery. Computed tomography (CT) angiography of the abdomen is currently favoured in the literature to establish the diagnosis. We report a case of SMA syndrome in a 20-year-old Malay gentleman with a history of significant weight loss and kratom abuse for a year. A CT scan of the abdomen was performed and established the diagnosis. This patient responded to conservative treatment of nutritional supplementation.

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Section: Discussionmentioning

confidence: 99%