Superior mesenteric artery syndrome in an adolescent with anorexia nervosa during the COVID-19 pandemic. A clinical case report

Authors

  • Maria Huete Cordova Servicio de Psiquiatría del Niño y del Adolescente, Hospital Nacional Guillermo Almenara Irigoyen. Lima, Perú.
  • Mario Ledesma Gastañaduí Departamento de Psiquiatría, Hospital Nacional Guillermo Almenara Irigoyen. Lima, Perú. Asociación Latinoamericana de Análisis Transaccional (ALAT). Buenos Aires, Argentina.
  • Natalie Jaramillo Diaz Servicio de Psiquiatría del Niño y del Adolescente, Hospital Nacional Guillermo Almenara Irigoyen. Lima, Perú.

DOI:

https://doi.org/10.20453/rnp.v84i2.4002

Keywords:

Superior mesenteric artery syndrome, anorexia nervosa, COVID-19

Abstract

The case of an adolescent patient diagnosed with Superior Mesenteric Artery Syndrome caused by emaciation resulting from an eating disorder (Anorexia Nervosa, AN) es described. Its clinical course was severely accentuated by the COVID-19 pandemic. The Syndrome is due to the compression of the third portion of the duodenum between the superior mesenteric artery and the aorta. The main clinical, etiopathogenic and diagnostic characteristics of AN are described; its early diagnosis is essential to improve a prognosis complicated by the consequences of weight loss and malnutrition. Anxious and depressive comorbidities associated with the stress caused by the confinement, and the patient’s obsessive personality traits required a joint treatment by the Pediatry and Child and Adolescent Psychiatry Services, the latter with individual and family psychotherapy interventions.

References

González D, Díaz A, Vélez-Pérez F, Lemus-Ramírez R, Andrade P. Síndrome de Wilkie. Reporte de un caso. Cirugía y Cirujanos. 2017; 85(1): 54–59. doi:10.1016/j.circir.2015.08.009

Watters A, Gibson D, Dee E, Mascolo M, Mehler, PS. Síndrome de la arteria mesentérica superior en la anorexia nerviosa grave: una serie de casos. Informes de casos clínicos. 2019; 8 (1): 185-189. doi: 10.1002 /ccr3.2577

Shintani F, Fetters M. Anorexia nervosa complicated with hiatal hernia and superior mesenteric artery syndrome: A case illustrating the risk of inference observation confusion. J Gen Fam Med. 2017;18(3):144-145. doi: 10.1002/jgf2.26

Sinagra E, Raimondo D, Albano D, et al. Superior mesenteric artery syndrome: clinical, endoscopic, and radiological findings. Gastroenterol Res Pract. 2018;2018:1937416. doi:10.1155/2018/1937416

Mogollón E, Brito M, Sarmiento M, Estrada J. Síndrome de Arteria Mesentérica Superior o Síndrome de Wilkie Caso Clínico. Salud y Vida 2019; 3(6): 344. DOI: 10.35381/s.v.v3i6.344

Okugawa Y, Inoue M, Uchida K, et al. Superior mesenteric artery syndrome in an infant: case report and literature review. J Pediatr Surg. 2007;42(10):E5-E8. doi:10.1016/j.jpedsurg.2007.07.002

Biank V, Werlin S. Superior mesenteric artery syndrome in children: A 20-year experience.J Pediatr Gastroenterol Nutr. 2006; 42: 522-525.

Gwee K, Teh A, Huang C. Acute superior mesenteric artery syndrome and pancreatitis in anorexia nervosa. Australas Psychiatry. 2010;18(6):523-526. doi:10.31 09/10398562.2010.498885

Jáuregui I, Santiago M, Estébanez S. Trastornos de la conducta alimentaria y la personalidad: Un estudio con el MCMI-II. Atención Primaria. 2009; 41(4): 201–206.

González L, Unikel C, Cruz C, Caballero A. Personalidad y trastornos de la conducta alimentaria Salud Mental. 2003; 26(3): 1-8.

Berrios G, Porter R. Una Historia de la psiquiatría clínica. Madrid: Editorial Triacastela; 2012. p.683- 690.

Soutullo C. Guia Esencial de Psicofarmacología del Niño y del Adolescente. Madrid: Editorial Médica Panamericana; 2016.

Gabler G, Olguín P, Rodríguez A. Complicaciones médicas de los Trastornos de la Conducta Alimentaria. Revista Médica Clínica Las Condes. 2017; 28(6):893-900. doi: 10.1016/j.rmclc.2017.09.003

Martínez H, Martínez S, Sánchez-Ussa S, Pedraza M, Cabrera LF. Laparoscopic management for Wilkie ́s syndrome: Manejo laparoscópico para el síndrome de Wilkie. Cir Cir. 2019;87(S1):22-27. doi:10.24875/CIRU.18000571

Frongia G, Schenk JP, Schaible A, Sauer P, Mehrabi A, Günther P. Food fear, quick satiety and vomiting in a 16 years old girl: It’s bulimia, or maybe not...? A case report of Wilkie’s syndrome (superior mesenteric artery syndrome). Int J Surg Case Rep. 2019;65:184-188.

Johnson BM, Paladugu G. Superior mesenteric artery syndrome secondary to anorexia nervosa and methamphetamine use. Cureus. 2019;11(11):e6121. doi:10.7759/cureus.6121

Cohen D. Appréhender le COVID-19 au fil de l’eau en tant que psychiatre d’enfant et d’adolescent. Encephale. 2020;46(3S):S99-S106. doi:10.1016/j. encep.2020.05.005

Mengin A, Allé MC, Rolling J, et al. Conséquences psychopathologiques du confinement. Encephale. 2020;46(3S):S43-S52. doi:10.1016/j.encep.2020.04. 007

Published

2021-08-09

How to Cite

1.
Huete Cordova M, Ledesma Gastañaduí M, Jaramillo Diaz N. Superior mesenteric artery syndrome in an adolescent with anorexia nervosa during the COVID-19 pandemic. A clinical case report. Rev Neuropsiquiatr [Internet]. 2021 Aug. 9 [cited 2024 Jul. 3];84(2):144-8. Available from: https://revistas.upch.edu.pe/index.php/RNP/article/view/4002

Issue

Section

CASE REPORTS