ISSN - 0973-0958

Pediatric Oncall Journal View Article

Recurrent SMA Syndrome in a Teenage Female
Cellucci Michael, Resch Erin.
Department of Pediatrics, Nemours/AI duPont Hospital for Children, Wilmington, Delaware, USA.
Recurrent superior mesenteric artery (SMA) syndrome has been described in literature, though the true incidence of recurrence is not well known. A high index of suspicion is required for the diagnosis of recurrent SMA syndrome. A 13 year-old female with a previous history of SMA syndrome presented to the emergency department with an acute onset of vomiting and abdominal pain without associated weight loss. She was found to have a recurrence of her SMA syndrome. Imaging revealed a narrow aorta-SMA angle. Even in the absence of weight loss and an atypical presentation of symptoms, a history of SMA syndrome may indicate an anatomic predisposition to the condition and needs to be considered.

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