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040 _cFEU-NRMF MEDICAL LIBRARY
050 _aRAD 2024 0003
245 _aHIDDEN IN PLAIN SIGHT: Superior mesenteric artery syndrome in a 15-year-old patient with a possible early sign of acute appendicitis /
_b[author]: James Dominic M. Cruz
260 _aFairview, Quezon City;
_bDepartment of Radiology, FEU-NRMF,
_c2024
300 _c(in folder)
_ewith flash drive (soft copy)
336 _2rdacontent
_atext
337 _2rdamedia
_aunmediated
338 _2rdacarrier
_avolume
504 _aIncludes bibliographical references
520 _aABSTRACT: Superior mesenteric artery (SMA) syndrome is an uncommon condition that involves compression of the third portion of the duodenum, which is the upper part of the small intestines just past the stomach. This condition occurs when the third part of the duodenum is compressed between two arteries-the main artery of the body called the abdominal aorta (AA) and one of its branches call the SMA. The SMA provides blood supply to the small intestine and the first part of the colon. Compression of the SMA against the AA can prevent duodenal contents from draining into the jejunum (upper small intestine), hence the inability to get proper nutrition, leading to weight loss and malnutrition. Appendicitis is the most common indication for emergency abdominal surgery in childhood and is diagnosed in 1 to 8 percent of children evaluated urgently for abdominal pain. In the United States, the incidence increases from an annual rate of one to sic per 10,000 children between birth and four years of age to 19 to 28 per 10,000 children younger that 14 years. It is frequent mostly in the second decade of life. Common signs and symptoms include anorexia, periumbilical pain (early), vomiting after onset of pain and migration to lower quadrant. This report will primarily address a case of superior mesenteric artery syndrome and its complexities. Because of the condition’s nebulous and non-specific presenting symptoms, it was initially belived to be early appendicitis. Additionally, it will discuss how imaging modalities, in particular contrast-enhanced CT scans, can be used to diagnose and assist in patient management.
521 _aRESDR
700 _aJames Dominic M. Cruz
_eauthor
856 _21
_30
_qpdf
_uhttps://library.feu-nrmf.ph/cgi-bin/koha/opac-retrieve-file.pl?id=84e54647091acfeefc1f9cbb2f408a9d
_yClick here for FULL TEXT
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