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Case Reports in Emergency Medicine
Volume 2016, Article ID 7809281, 4 pages
http://dx.doi.org/10.1155/2016/7809281
Case Report

Superior Mesenteric Artery Syndrome with Abdominal Compartment Syndrome

University of Texas Dell Medical School, Emergency Medicine Residency, Austin, TX, USA

Received 25 August 2016; Revised 16 November 2016; Accepted 17 November 2016

Academic Editor: Aristomenis K. Exadaktylos

Copyright © 2016 Kevin Reece et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Superior Mesenteric Artery (SMA) syndrome is a condition in which the duodenum becomes compressed between the SMA and the aorta, resulting in bowel obstruction which subsequently compresses surrounding structures. Pressure on the inferior vena cava (IVC) and aorta decreases cardiac output which compromises distal blood flow, resulting in abdominal compartment syndrome with ischemia and renal failure. A 15-year-old male with SMA syndrome presented with 12 hours of pain, a distended, rigid abdomen, mottled skin below the waist, and decreased motor and sensory function in the lower extremities. Exploratory laparotomy revealed ischemic small bowel and stomach with abdominal compartment syndrome. Despite decompression, the patient arrested from hyperkalemia following reperfusion.