Superior Mesenteric Artery Syndrome in Traumatic Brain Injury: A case report.

, Lee, Jung Soo; , Kim, Yoon Tae; , Jung, Hee Chan; , Kim, Sae Hyun; , Cho, Duk Won; , Kim, Han Seung; , Chung, You Chul

Case Report

Journal of the Korean Academy of Rehabilitation Medicine 2009;33(6):739-741.

Lee, Jung Soo , Kim, Yoon Tae , Jung, Hee Chan , Kim, Sae Hyun , Cho, Duk Won , Kim, Han Seung , Chung, You Chul

Department of Rehabilitation Medicine, College of Medicine, The Catholic University of Korea, Korea. lulruru@naver.com

외상성 뇌손상 환자에서 발생한 상장간막동맥 증후군-증례 보고-

이정수, 김윤태, 정희찬, 김세현, 조덕원, 김한승, 정유철

가톨릭대학교 의과대학 재활의학교실

Abstract

Superior mesenteric artery syndrome (SMAS) is a rare cause of proximal duodenal obstruction resulting from compression of the duodenum by the SMA against the aorta. Risk factors associated with SMAS are prolonged supine position, weight loss and decreased abdominal wall muscle tone; all of which are frequently accompanied with traumatic brain injury (TBI). The following case report describes a patient who developed SMAS in the setting of TBI. This report presents a 16 year old male with TBI who had postprandial epigastric pain, vomiting and weight loss. Computed tomography and upper gastrointestinal series demonstrated the existence of SMAS. The patient was managed conservatively with total parenteral nutrition to obtain a positive nitrogen balance. Physician should consider SMAS in the differential diagnosis of patients presenting with abdominal pain and vomiting. (J Korean Acad Rehab Med 2009; 33: 739-741)

Key Words: Superior mesenteric artery syndrome, Traumatic brain injury