Clinics in diagnostic imaging (168)
Singapore medical journal
;
: 274-278, 2016.
Artículo
en Inglés
| WPRIM
| ID: wpr-296420
ABSTRACT
A 16-year-old Chinese male patient presented with constipation lasting five days, colicky abdominal pain, lethargy, weakness and body aches. He was able to pass flatus. Abdominal radiography showed a distended stomach causing inferior displacement of the transverse colon. Computed tomography revealed a dilated oesophagus, stomach and duodenum up to its third portion, with a short aortomesenteric distance and narrow angle. There was also consolidation in the lungs bilaterally. Based on the constellation of clinical and imaging findings, a diagnosis of superior mesenteric artery syndrome complicated by aspiration pneumonia was made. The patient was subsequently started on intravenous hydration, nasogastric tube aspiration and antibiotics. Following stabilisation of his acute condition, a nasojejunal feeding tube was inserted and a feeding plan was implemented to promote weight gain. The clinical presentation, differentials, diagnosis and treatment of superior mesenteric artery syndrome are discussed.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Neumonía por Aspiración
/
Síndrome de la Arteria Mesentérica Superior
/
Síndrome
/
Vómitos
/
Diagnóstico por Imagen
/
Fluoroscopía
/
Radiografía Abdominal
/
Tomografía Computarizada por Rayos X
/
China
/
Nutrición Enteral
Tipo de estudio:
Estudio diagnóstico
Límite:
Adolescente
/
Anciano
/
Niño
/
Humanos
/
Masculino
País/Región como asunto:
Asia
Idioma:
Inglés
Revista:
Singapore medical journal
Año:
2016
Tipo del documento:
Artículo
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