Superior mesenteric artery syndrome following initiation of cisplatin-containing chemotherapy: a case report

Journal of Medical Case Reports

Mina Matsushita¹  Keishi Kubo²  Masayuki Hanaoka²  Hiroshi Yamamoto²  Tomonobu Koizumi²  Atsuhito Ushiki² 

[1] Department of Radiology, Shinshu University School of Medicine, Matsumoto, 390-8621, Japan;First Department of Internal Medicine, Shinshu University School of Medicine, 3-1-1, Asahi, Matsumoto, 390-8621, Japan

关键词: non-small cell lung cancer;    emesis;    body weight loss;    superior mesenteric artery syndrome;   

Others  :  1196011
DOI  :  10.1186/1752-1947-6-14

 received in 2011-07-26, accepted in 2012-01-16,  发布年份 2012

【 摘 要 】

Introduction

Superior mesenteric artery syndrome is a rare cause of upper intestinal obstruction resulting from compression of the duodenum by the superior mesenteric artery and abdominal aorta.

Case presentation

We describe a case of superior mesenteric artery syndrome in a 61-year-old Japanese man with non-small cell lung cancer who had been treated with cisplatin-containing chemotherapy and had lost 7 kg in weight. The diagnosis was confirmed by the typical findings of abdominal computed tomography showing distended stomach resulting from compression of the third portion of the duodenum and reduction of an aortomesenteric distance and aortomesenteric angle.

Conclusions

This case highlights the importance of considering the possibility of superior mesenteric artery syndrome in patients treated with chemotherapy, especially those presenting with a low body mass index and showing weight loss during chemotherapy.

【 授权许可】

   
2012 Ushiki et al; licensee BioMed Central Ltd.

【 图 表 】

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【 参考文献 】

• [1]Welsch T, Büchler MW, Kienle P: Recalling superior mesenteric artery syndrome. Dig Surg 2007, 24:149-156.
• [2]de O Matheus C, Waisberg J, Zewer MH, Godoy AC: Syndrome of duodenal compression by the superior mesenteric artery following restorative proctocolectomy: a case report and review of literature. Sao Paulo Med J 2005, 123:151-153.
• [3]Konen E, Amitai M, Apter S, Garniek A, Gayer G, Nass S, Itzchak Y: CT angiography of superior mesenteric artery syndrome. AJR Am J Roentgenol 1998, 171:1279-1281.
• [4]Ahmed AR, Taylor I: Superior mesenteric artery syndrome. Postgrad Med J 1997, 73:776-778.
• [5]Wilkie DPD: Chronic duodenal ileus. Am J Med Sci 1927, 173:643.
• [6]Kepros JP: Superior mesenteric artery syndrome after multiple trauma. J Trauma 2002, 53:1028.
• [7]Adson DE, Mitchell JE, Trenkner SW: The superior mesenteric artery syndrome and acute gastric dilatation in eating disorders: a report of two cases and a review of the literature. Int J Eat Disord 1997, 21:103-104.
• [8]Economides NG, Fortner TM, Dunavant WD: Duodenal diaphragm associated with superior mesenteric artery syndrome. Am J Surg 1981, 141:274-276.
• [9]Roy A, Gisel JJ, Roy V, Bouras EP: Superior mesenteric artery (Wilkie's) syndrome as a result of cardiac cachexia. J Gen Intern Med 2005, 20:C3-C4.
• [10]Stumpfle R, Wright AR, Walsh J: Superior mesenteric artery syndrome in an HIV positive patient. Sex Transm Infect 2003, 79:262-263.
• [11]Wu MC, Wu IC, Wu JY, Wu DC, Wang WM: Superior mesenteric artery syndrome in a diabetic patient with acute weight loss. World J Gastroenterol 2009, 15:6004-6006.
• [12]Dietrich J, Marienhagen J, Schalke B, Bogdahn U, Schlachetzki F: Vascular neurotoxicity following chemotherapy with cisplatin, ifosfamide, and etoposide. Ann Pharmacother 2004, 38:242-246.
• [13]Gerl A: Vascular toxicity associated with chemotherapy for testicular cancer. Anticancer Drugs 1994, 5:607-614.
• [14]Allerton R: Acute mesenteric ischaemia associated with 5-FU, cisplatin and vincristine chemotherapy. Clin Oncol (R Coll Radiol) 1996, 8:116-117.
• [15]Ozkurt H, Cenker MM, Bas N, Erturk SM, Basak M: Measurement of the distance and angle between the aorta and superior mesenteric artery: normal values in different BMI categories. Surg Radiol Anat 2007, 29:595-599.
• [16]Neri S, Signorelli SS, Mondati E, Pulvirenti D, Campanile E, Di Pino L, Scuderi M, Giustolisi N, Di Prima P, Mauceri B, Abate G, Cilio D, Misseri M, Scuderi R: Ultrasound imaging in diagnosis of superior mesenteric artery syndrome. J Intern Med 2005, 257:346-351.
• [17]Unal B, Aktaş A, Kemal G, Bilgili Y, Güliter S, Daphan C, Aydinuraz K: Superior mesenteric artery syndrome: CT and ultrasonography findings. Diagn Interv Radiol 2005, 11:90-95.
• [18]Barnes JB, Lee M: Superior mesenteric artery syndrome in an intravenous drug abuser after rapid weight loss. South Med J 1996, 89:331-334.