title: Superior mesenteric artery syndrome in type 1 diabetes masquerading as gastroparesis.
abstract: OBJECTIVE
  To describe and discuss a case of superior mesenteric artery syndrome (SMAS) presenting with gastrointestinal signs and symptoms mistakenly attributed to, and treated as, diabetic gastroparesis.
  
  
  METHODS
  A case report was compiled describing the clinical presentation, including history and physical examination, evaluation, diagnosis, and treatment of a patient with type 1 diabetes presenting with gastrointestinal complications.
  
  
  RESULTS
  Clinical suspicion combined with the appropriate radiological evaluation led to a diagnosis of SMAS, with classic findings of reduced aortomesenteric angle and distance. Surgical intervention resulted in resolution of symptoms and recovery of glycemic control.
  
  
  CONCLUSIONS
  The possibility of SMAS should be considered in patients with type 1 diabetes presenting with gastrointestinal symptomatology, especially when associated with weight loss.
authors.affiliation: Division of Endocrinology, Diabetes and Metabolism, Diabetes Research Institute, University of Miami Miller School of Medicine, Miami, Florida, USA. lmeneghi@med.miami.edu
authors.forename: Luigi F
authors.initials: LF
authors.lastname: Meneghini
authors.forename: Anthony R
authors.initials: AR
authors.lastname: Hogan
authors.forename: Gennaro
authors.initials: G
authors.lastname: Selvaggi
mesh_terms: D000293:Adolescent; D001013:Aorta, Thoracic / Q000000981:diagnostic imaging; D003922:Diabetes Mellitus, Type 1 / Q000150:complications*; D003925:Diabetic Angiopathies / Q000175:diagnosis* / Q000000981:diagnostic imaging; D016883:Diabetic Ketoacidosis / Q000175:diagnosis; D003937:Diagnosis, Differential; D005260:Female; D018589:Gastroparesis / Q000175:diagnosis*; D006801:Humans; D013478:Superior Mesenteric Artery Syndrome / Q000175:diagnosis* / Q000000981:diagnostic imaging; D014057:Tomography, X-Ray Computed