Unique challenges for appropriate management of a 16-year-old girl with superior mesenteric artery syndrome as a result of anorexia nervosa: a case report.

Journal of Medical Case Reports
Philip A Verhoef, Angelika Rampal

Abstract

Nausea and vomiting in an adolescent, though common presenting symptoms, often pose a diagnostic and therapeutic challenge to the physician. When the diagnosis involves both medical and psychiatric components, management can be complex, especially in the current healthcare system in the United States. To the best of our knowledge, there have been no previous publications detailing successful management of a patient with anorexia nervosa and superior mesenteric artery syndrome. We report the case of a 16-year-old Caucasian girl who presented to our emergency department with nausea, abdominal pain, diminished appetite and vomiting. Her history and examination were notable for a 15 kg weight loss and diffuse abdominal tenderness. A barium swallow X-ray with small bowel follow-through and computed tomography scan demonstrated remarkable duodenal narrowing between the superior mesenteric artery and the aorta, consistent with superior mesenteric artery syndrome. Initial management focused on relieving the obstruction and supporting the nutritional needs of the patient. Further history confirmed a diagnosis of anorexia nervosa, requiring intensive psychiatric and medical management, and necessitating a multifaceted approach to patient...Continue Reading

References

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Citations

Aug 21, 2013·Journal of Korean Medical Science·Myung Seok Shin, Jae Young Kim
Jun 4, 2017·BMJ Case Reports·Miguel Nico AlbanoGuillermo Martinez
Jun 1, 2010·Journal of Psychiatric Practice·Hubertus HimmerichAbigail J Sheldrick
Dec 17, 2015·World Journal of Gastroenterology : WJG·Si-Yuan YaoSakae Mikami
Oct 27, 2015·Clinical Journal of Gastroenterology·Yasuhiro Sato, Shin Fukudo
Sep 19, 2018·Gastroenterology Research and Practice·Emanuele SinagraMassimo Midiri
Apr 24, 2018·Eating and Weight Disorders : EWD·Dennis GibsonPhilip S Mehler
Dec 19, 2021·Postgraduate Medical Journal·Anisa Jabeen Nasir JafarJacinta Tan

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Methods Mentioned

BETA
SMA
chips
X-ray

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Anorexia Nervosa

Anorexia nervosa (AN) is a psychiatric condition characterized by severe weight loss and secondary problems associated with malnutrition. Here is the latest research on AN.