title: Duodenal Emphysema Complicated with Superior Mesenteric Artery Syndrome in a Patient with Cerebral Paralysis: A Case Report.
abstract: Superior mesenteric artery syndrome (SMAS) is characterized by an arteriomesenteric duodenal compression commonly resulting from significant weight loss. Vomiting is the most frequent symptom. SMAS can be complicated by massive gastric dilatation. Patients with cerebral palsy have various factors that can predispose them to SMAS. In this paper, we report a rare case of SMAS complicated by duodenal, peritoneal and retroperitoneal emphysema in a patient with cerebral paralysis, referring to the relevant literature. In this case, severe vomiting associated with epilepsy and weight loss may have contributed to the development of duodenal emphysema.
authors.affiliation: Department of Radiology, Tokai University School of Medicine, 143 Shimokasuya, Isehara, Kanagawa, 259-1193, Japan. tamaki-i@is.icc.u-tokai.ac.jp.
authors.forename: Tamaki
authors.initials: T
authors.lastname: Ichikawa
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Yamamuro
authors.forename: Jun
authors.initials: J
authors.lastname: Koizumi
authors.forename: Dai
authors.initials: D
authors.lastname: Joishi
authors.forename: Yuko
authors.initials: Y
authors.lastname: Ohnuki
authors.forename: Sachiko
authors.initials: S
authors.lastname: Yutani
authors.forename: Yutaka
authors.initials: Y
authors.lastname: Imai
mesh_terms: D000328:Adult; D002547:Cerebral Palsy / Q000150:complications*; D004378:Duodenal Diseases / Q000000981:diagnostic imaging / Q000209:etiology*; D004646:Emphysema / Q000000981:diagnostic imaging / Q000209:etiology*; D004827:Epilepsy / Q000150:complications; D013271:Gastric Dilatation / Q000000981:diagnostic imaging / Q000209:etiology; D006801:Humans; D008297:Male; D010532:Peritoneal Diseases / Q000000981:diagnostic imaging / Q000209:etiology; D011379:Prognosis; D012720:Severity of Illness Index; D013478:Superior Mesenteric Artery Syndrome / Q000000981:diagnostic imaging / Q000209:etiology*; D014057:Tomography, X-Ray Computed; D014839:Vomiting / Q000209:etiology; D015431:Weight Loss / Q000502:physiology