Superior Mesenteric Artery Syndrome in a 6-Year-Old Girl with Final Diagnosis of Celiac Disease

Background. Superior mesenteric artery syndrome (SMAS) occurs when the duodenum is compressed between the two arteries, superior mesenteric artery and aorta. The complications of this rarely found disorder in children range from causing trouble in duodenal functions to intestinal obstruction which i...

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Main Authors: F. Salehzadeh, Ali Samadi, M. Mirzarahimi
Format: Article
Language:English
Published: Wiley 2019-01-01
Series:Case Reports in Gastrointestinal Medicine
Online Access:http://dx.doi.org/10.1155/2019/3458601
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author F. Salehzadeh
Ali Samadi
M. Mirzarahimi
author_facet F. Salehzadeh
Ali Samadi
M. Mirzarahimi
author_sort F. Salehzadeh
collection DOAJ
description Background. Superior mesenteric artery syndrome (SMAS) occurs when the duodenum is compressed between the two arteries, superior mesenteric artery and aorta. The complications of this rarely found disorder in children range from causing trouble in duodenal functions to intestinal obstruction which is potentially life-threatening. Case Presentation. Here we are reporting a case of SMAS in a 6-year-old girl with the complaint of chronic abdominal pain since 3 years. She suffered from growth failure, while different workups were negative. Ultimately, imaging investigations detected superior mesenteric artery syndrome as an etiologic background. In the additional investigations, it is found that she suffered from celiac disease. Conclusion. We concluded that the inflammatory nature of the celiac disease can affect the anatomy of the duodenum beyond its mucosal surface in the mesenteric fat tissue and results in SMAS.
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spelling doaj-art-1c68944d186a42d18ca7ad28a7f16a902025-08-20T03:54:51ZengWileyCase Reports in Gastrointestinal Medicine2090-65282090-65362019-01-01201910.1155/2019/34586013458601Superior Mesenteric Artery Syndrome in a 6-Year-Old Girl with Final Diagnosis of Celiac DiseaseF. Salehzadeh0Ali Samadi1M. Mirzarahimi2Pediatric Rheumatology, Bou-Ali Children’s Hospital, Ardabil University of Medical Sciences (ARUMS), Ardabil, IranBou-Ali Children’s Hospital, Ardabil University of Medical Sciences (ARUMS), Ardabil, IranBou-Ali Children’s Hospital, Ardabil University of Medical Sciences (ARUMS), Ardabil, IranBackground. Superior mesenteric artery syndrome (SMAS) occurs when the duodenum is compressed between the two arteries, superior mesenteric artery and aorta. The complications of this rarely found disorder in children range from causing trouble in duodenal functions to intestinal obstruction which is potentially life-threatening. Case Presentation. Here we are reporting a case of SMAS in a 6-year-old girl with the complaint of chronic abdominal pain since 3 years. She suffered from growth failure, while different workups were negative. Ultimately, imaging investigations detected superior mesenteric artery syndrome as an etiologic background. In the additional investigations, it is found that she suffered from celiac disease. Conclusion. We concluded that the inflammatory nature of the celiac disease can affect the anatomy of the duodenum beyond its mucosal surface in the mesenteric fat tissue and results in SMAS.http://dx.doi.org/10.1155/2019/3458601
spellingShingle F. Salehzadeh
Ali Samadi
M. Mirzarahimi
Superior Mesenteric Artery Syndrome in a 6-Year-Old Girl with Final Diagnosis of Celiac Disease
Case Reports in Gastrointestinal Medicine
title Superior Mesenteric Artery Syndrome in a 6-Year-Old Girl with Final Diagnosis of Celiac Disease
title_full Superior Mesenteric Artery Syndrome in a 6-Year-Old Girl with Final Diagnosis of Celiac Disease
title_fullStr Superior Mesenteric Artery Syndrome in a 6-Year-Old Girl with Final Diagnosis of Celiac Disease
title_full_unstemmed Superior Mesenteric Artery Syndrome in a 6-Year-Old Girl with Final Diagnosis of Celiac Disease
title_short Superior Mesenteric Artery Syndrome in a 6-Year-Old Girl with Final Diagnosis of Celiac Disease
title_sort superior mesenteric artery syndrome in a 6 year old girl with final diagnosis of celiac disease
url http://dx.doi.org/10.1155/2019/3458601
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