A case report of B-cell lymphoma masquerading as superior mesenteric artery syndrome.
Superior mesenteric artery (SMA) syndrome is a rare cause of intestinal obstruction, especially in children, whereas intussusception is far more common. We report the case of a child, who after an episode of acute weight loss presented with features suggestive of SMA syndrome. This child subsequently was shown at operation to have disseminated lymphoma causing a secondary high jejunal intussusception and tumor involvement of retroperitoneal lymph nodes causing compression of the third part of the duodenum. This case emphasizes that the SMA syndrome should be considered a sign rather than a diagnosis in itself. As such, an active search should be made to determine the cause of the condition. Routine preoperative imaging is recommended.
Gopal
Milan
M
Department of Paediatric Surgery, Leicester Royal Infirmary, LE1 5WW Leicester, UK.
Fisher
Ross
R
D000714:Anastomosis, Surgical; D000971:Antineoplastic Combined Chemotherapy Protocols / Q000627:therapeutic use; D002648:Child; D003937:Diagnosis, Differential; D013505:Digestive System Surgical Procedures / Q000379:methods; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007415:Intestinal Obstruction / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery; D007443:Intussusception / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery; D007579:Jejunal Diseases / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery; D007813:Laparotomy / Q000379:methods; D016393:Lymphoma, B-Cell / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy; D013478:Superior Mesenteric Artery Syndrome / Q000175:diagnosis*; D016896:Treatment Outcome