Superior mesenteric artery syndrome in a diabetic patient with acute weight loss

Meng-Chieh Wu; I-Chen Wu; Jeng-Yih Wu; Deng-Chyang Wu; Wen-Ming Wang; Salloum, Rabih M.
December 2009
World Journal of Gastroenterology;12/21/2009, Vol. 15 Issue 47, p6004
Academic Journal
Case Study
Superior mesenteric artery (SMA) syndrome is an uncommon disease resulting compression of the third portion of the duodenum from the superior mesenteric artery. This disease shares many common manifestations with diabetic gastroparesis, including postprandial fullness, nausea, vomiting, and bloating. Therefore, it is often overlooked in diabetic patients. Here, we report a 41-year-old man with poorly controlled diabetic mellitus who developed SMA syndrome due to rapid weight loss. The diagnosis was confirmed by computed tomography and an upper gastrointestinal series. His condition improved after parenteral nutrient, strict sugar control, and gradual weight gain.


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