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Acute Kidney Injury Caused by Superior Mesenteric Artery Syndrome
Joint Authors
Wong, Zhiqin
Mustafar, Ruslinda
Kamaruzaman, Lydia
Mohd, Rozita
Mohammad Kazmin, Nur Ezzaty
Fong, Voon Ken
Source
Issue
Vol. 2020, Issue 2020 (31 Dec. 2020), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2020-04-09
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
Background.
Superior mesenteric artery (SMA) syndrome is a rare cause of upper gastrointestinal obstruction leading to acute kidney injury (AKI).
Methods.
We report a case of 23-year-old army personnel who presented with persistent vomiting leading to severe hypokalaemia, metabolic alkalosis, and acute kidney injury resulting in cardiorespiratory arrest.
Results.
After successful resuscitation, he was supported with haemodialysis and aggressive electrolytes correction.
He was repeatedly not able to tolerate nasogastric (NG) tube feeding and computerised tomography of abdomen was performed, and the diagnosis of SMA syndrome was made.
Gastroscopy examination revealed duodenal ulcer at D1, pinhole D1-D2 junction, but there was no evidence of intraluminal mass or lesions leading to upper gastrointestinal obstruction.
A nasojejunal tube was inserted to bypass the narrow segment of the duodenum, and he was put on nutritional support.
He was subsequently weaned off dialysis support as his renal function gradually improved and later on normalised.
He remains symptoms free, and he gained five kilograms in four months after discharge.
Conclusions.
SMA syndrome is a rare cause of upper gastrointestinal obstruction but should be considered as a differential diagnosis in a patient who presented with recurrent vomiting and AKI with metabolic alkalosis.
American Psychological Association (APA)
Mohammad Kazmin, Nur Ezzaty& Kamaruzaman, Lydia& Wong, Zhiqin& Fong, Voon Ken& Mohd, Rozita& Mustafar, Ruslinda. 2020. Acute Kidney Injury Caused by Superior Mesenteric Artery Syndrome. Case Reports in Nephrology،Vol. 2020, no. 2020, pp.1-5.
https://search.emarefa.net/detail/BIM-1148795
Modern Language Association (MLA)
Mohammad Kazmin, Nur Ezzaty…[et al.]. Acute Kidney Injury Caused by Superior Mesenteric Artery Syndrome. Case Reports in Nephrology No. 2020 (2020), pp.1-5.
https://search.emarefa.net/detail/BIM-1148795
American Medical Association (AMA)
Mohammad Kazmin, Nur Ezzaty& Kamaruzaman, Lydia& Wong, Zhiqin& Fong, Voon Ken& Mohd, Rozita& Mustafar, Ruslinda. Acute Kidney Injury Caused by Superior Mesenteric Artery Syndrome. Case Reports in Nephrology. 2020. Vol. 2020, no. 2020, pp.1-5.
https://search.emarefa.net/detail/BIM-1148795
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1148795