title: [A case of superior mesenteric artery syndrome caused by anorexia nervosa].
abstract: Superior mesenteric artery (SMA) syndrome is a rare disorder, characterized by compression of the third segment of the duodenum by the mesenteric artery at the level of the SMA, resulting in duodenal dilatation. Precipitating factors of the SMA syndrome include prolonged bed rest, weight loss, abdominal surgery, and increased lordosis of the spine. We report a case of SMA syndrome caused by anorexia nervosa in a 15-year-old adolescent girl. CT and an upper gastrointestinal contrast series revealed partial obstruction of the third portion of duodenum and decreased aortomesenteric distance. The patient's symptoms were successfully treated with total parental nutrition and psychiatric treatment including supportive, cognitive behavioral therapy and antidepressant medication. This case shows that SMA syndrome is an unusual gastrointestinal complication that may occur in patients with anorexia nervosa.
authors: Department of Internal Medicine, Kosin University College of Medicine, Busan, Korea.
authors: Cheon Woo
authors: CW
authors: Lee
authors: Moo In
authors: MI
authors: Park
authors: Seun Ja
authors: SJ
authors: Park
authors: Won
authors: W
authors: Moon
authors: Hyung Hun
authors: HH
authors: Kim
authors: Bong Joon
authors: BJ
authors: Kim
authors: In Kyoung
authors: IK
authors: Shim
authors: Si Sung
authors: SS
authors: Park
mesh_terms: D000293:Adolescent; D000856:Anorexia Nervosa / Q000150:complications*; D000928:Antidepressive Agents / Q000627:therapeutic use; D015928:Cognitive Behavioral Therapy; D016099:Endoscopy, Gastrointestinal; D005260:Female; D005473:Fluoxetine / Q000627:therapeutic use; D006801:Humans; D010289:Parenteral Nutrition, Total; D013478:Superior Mesenteric Artery Syndrome / Q000175:diagnosis* / Q000209:etiology* / Q000628:therapy; D014057:Tomography, X-Ray Computed
chemical_list: D000928:Antidepressive Agents; D005473:Fluoxetine