Unusual complication of superior mesenteric artery syndrome: spontaneous upper gastrointestinal bleeding with hypovolemic shock.
Superior mesenteric artery (SMA) syndrome is an unusual form of duodenal obstruction. Complications of SMA syndrome may sometimes develop and are usually associated with marked gastric dilatation, although most complications can be corrected by supportive treatment. In this article, we report a case of severe SMA syndrome with hypovolemic shock in a 24-year-old man. Multidetector-row computed tomography with reconstructed images was performed to establish the diagnosis. Spontaneous gastrointestinal bleeding is an extremely uncommon complication of SMA syndrome, and emergent surgical intervention was unavoidable in our patient. To our knowledge, no other such case has been reported in the English-language literature.
Ko
Kai-Hsiung
KH
Department of Radiology, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan, R.O.C.
Tsai
Shih-Hung
SH
Yu
Chih-Yung
CY
Huang
Guo-Shu
GS
Liu
Chang-Hsien
CH
Chang
Wei-Chou
WC
D000328:Adult; D006471:Gastrointestinal Hemorrhage / Q000209:etiology* / Q000601:surgery; D006801:Humans; D008297:Male; D012769:Shock / Q000209:etiology* / Q000601:surgery; D013478:Superior Mesenteric Artery Syndrome / Q000150:complications*; D014057:Tomography, X-Ray Computed