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Acute Kidney Injury Caused By Superior Mesenteric Artery Syndrome

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dc.contributor.authorNur Ezzaty Mohammad Kazminen_US
dc.contributor.authorLydia Kamaruzamanen_US
dc.contributor.authorVoon Ken Fongen_US
dc.contributor.authorRuslinda Mustafaren_US
dc.contributor.authorRozita Mohden_US
dc.contributor.authorZhiqin Wongen_US
dc.date.accessioned2024-05-28T03:29:03Z
dc.date.available2024-05-28T03:29:03Z
dc.date.issued2020-04-09
dc.date.submitted2022-1-27
dc.description.abstractBackground. 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.en_US
dc.identifier.citationMohammad Kazmin, N. E., Kamaruzaman, L., Wong, Z., Fong, V. K., Mohd, R., & Mustafar, R. (2020). Acute kidney injury caused by superior mesenteric artery syndrome. Case Reports in Nephrology, 2020, 1–5. https://doi.org/10.1155/2020/8364176en_US
dc.identifier.doi10.1155/2020/8364176
dc.identifier.epage5
dc.identifier.issn2090-6641
dc.identifier.other2039-5
dc.identifier.spage1
dc.identifier.urihttps://oarep.usim.edu.my/handle/123456789/4399
dc.identifier.volume2020
dc.language.isoenen_US
dc.publisherHindawi Limiteden_US
dc.relation.ispartofCase Reports in Nephrologyen_US
dc.subjectkidney injury (AKI)en_US
dc.titleAcute Kidney Injury Caused By Superior Mesenteric Artery Syndromeen_US
dc.typeArticleen_US
dspace.entity.typePublication

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