2023, Number 6
Superior mesenteric artery syndrome associated to acute pancreatitis
González SCB, Ortega CMJ, Vega LCA, Ramírez SV
Full text
Language: Spanish
References: 8
Page: 955-960
PDF size: 234.19 Kb.
ABSTRACT
Background: Superior mesenteric artery syndrome is a rare cause of abdominal pain secondary to upper intestinal obstruction, resulting from extrinsic compression of the third portion of the duodenum between the aorta and the superior mesenteric artery. Its presentation has been associated with surgical procedures, acute and/or significant weight loss, as well as congenital or acquired anatomical abnormalities. Due to the anatomical location, it could be a diagnostic challenge, the clinical and biochemical alterations could lead to a visceral pathology. The association with acute pancreatitis has been described in few cases.Clinical case: A 25-year-old female patient with a history of dysautonomia of the orthostatic hypotension type and laparoscopic cholecystectomy due to acute cholecystitis; who presented with transfictional abdominal pain predominantly in the epigastrium without response to analgesics; the laboratory studies showed a significant elevation of pancreatic enzymes and the imaging studies showed a lobulated pancreas with no evidence of inflammation or collections associated with a partial compression of the third portion of the duodenum through the superior mesenteric artery and aorta with an angle of 16.2º and an aortomesenteric distance < 10 mm documented in the arterial phase of the tomography. An acute pancreatitis associated with superior mesenteric artery syndrome was concluded as the final diagnosis.
Conclusions: The description of superior mesenteric artery syndrome and acute pancreatitis is rarely reported in the literature, hence the importance of the description of this case.
REFERENCES