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首页> 外文期刊>Case Reports in Nephrology >Acute Kidney Injury Caused by Superior Mesenteric Artery Syndrome
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Acute Kidney Injury Caused by Superior Mesenteric Artery Syndrome

机译：高级肠系膜动脉综合征引起的急性肾损伤

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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.
机译：背景。优异的肠系膜动脉（SMA）综合征是上胃肠梗死的罕见原因，导致急性肾损伤（AKI）。方法。我们举报了一个23岁的军事人员，他们呈现出持续呕吐，导致严重的低钾血症，代谢碱中毒和急性肾损伤，导致心肺捕获。结果。在复苏成功后，他得到了血液透析和侵略性电解质矫正。他反复不能忍受鼻胃（NG）管喂养和腹部的计算机层面术，并制造了SMA综合征的诊断。胃镜检查检查D1，针孔D1-D2结显示十二指肠溃疡，但没有肿瘤内肿块或病变的证据，导致上胃肠梗阻。插入Nasojejunal管以绕过十二指肠的窄段，并呈现营养支持。随后他被断奶透析支持，因为他的肾功能逐渐改善，后来正常化。他仍然没有症状，他在出院后四个月获得了五公斤。结论。 SMA综合征是上胃肠梗阻的罕见原因，但应被视为患者患有复发性呕吐的患者的差异诊断，并且具有代谢碱度症状的患者。

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