Superior mesenleric artery syndrome in type 1 diabetes masquerading as gastroparesis

Luigi F. Meneghini, Anthony R. Hogan, Gennaro Selvaggi

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

OBJECTIVE - To describe and discuss a case of superior mesenteric artery syndrome (SMAS) presenting with gastrointestinal signs and symptoms mistakenly attributed to, and treated as, diabetic gastroparesis. RESEARCH DESIGN AND METHODS- A case report was compiled describing the clinical presentation, including history and physical examination, evaluation, diagnosis, and treatment of a patient with type 1 diabetes presenting with gastrointestinal complications. RESULTS - Clinical suspicion combined with the appropriate radiological evaluation led to a diagnosis of SMAS, with classic findings of reduced aortomesenteric angle and distance. Surgical intervention resulted in resolution of symptoms and recovery of glycemic control. CONCLUSIONS - The possibility of SMAS should be considered in patients with type 1 diabetes presenting with gastrointestinal symptomatology, especially when associated with weight loss.

Original languageEnglish (US)
Pages (from-to)1983-1984
Number of pages2
JournalDiabetes Care
Volume31
Issue number10
DOIs
StatePublished - Oct 2008

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Superior Mesenteric Artery Syndrome
Gastroparesis
Type 1 Diabetes Mellitus
Arteries
Signs and Symptoms
Physical Examination
Weight Loss
Research Design
History
Therapeutics

ASJC Scopus subject areas

  • Internal Medicine
  • Endocrinology, Diabetes and Metabolism
  • Advanced and Specialized Nursing

Cite this

Superior mesenleric artery syndrome in type 1 diabetes masquerading as gastroparesis. / Meneghini, Luigi F.; Hogan, Anthony R.; Selvaggi, Gennaro.

In: Diabetes Care, Vol. 31, No. 10, 10.2008, p. 1983-1984.

Research output: Contribution to journalArticle

Meneghini, Luigi F. ; Hogan, Anthony R. ; Selvaggi, Gennaro. / Superior mesenleric artery syndrome in type 1 diabetes masquerading as gastroparesis. In: Diabetes Care. 2008 ; Vol. 31, No. 10. pp. 1983-1984.
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