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Revista Clínica de Medicina de Familia

On-line version ISSN 2386-8201Print version ISSN 1699-695X


VILLAR RAMOS, Janire; ALTADILL BERMEJO, Antonio; RUBIO SANCHEZ, Sergio  and  FERNANDEZ LOBO, Víctor. Other causes of abdominal pain: superior mesenteric artery syndrome. Rev Clin Med Fam [online]. 2019, vol.12, n.2, pp.93-96. ISSN 2386-8201.

The symptoms of superior mesenteric artery syndrome are: postprandial epigastric pain, early satiety, nausea or bilious vomiting, particularly in patients with significant recent weight loss or with previous surgery, most often scoliosis.

We present the case of an 83-year-old man with a history of atrial fibrillation and COPD and previous surgeries due to peptic ulcer and chronic calculous cholecystitis, who arrives in the Emergency Department with severe abdominal pain, vomiting, not passing gas and constipation. We must think about this syndrome once the most frequent causes of abdominal pain have been ruled out. Thanks to clinical suspicion and CT scan we can obtain an early diagnosis and avoid later complications such as electrolyte imbalance, gastric perforation or portal venous gas.

Keywords : Abdominal Pain; Intestinal Obstruction; Superior Mesenteric Artery Syndrome.

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