{'fraction_non_alphanumeric': 0.01107011070110701, 'fraction_numerical': 0.0, 'mean_word_length': 5.409448818897638, 'pattern_counts': {'":': 0, '<': 0, '<?xml version=': 0, '>': 0, 'https://': 0, 'lorem ipsum': 0, 'www.': 0, 'xml': 0}, 'pii_count': 0, 'substrings_counts': 0, 'word_list_counts': {'cursed_substrings.json': 0, 'profanity_word_list.json': 0, 'sexual_word_list.json': 0, 'zh_pornsignals.json': 0}}
Superior mesenteric artery syndrome masquerading as chronic gastric volvulus in a child with severe acute malnutrition: a case report

Superior mesenteric artery syndrome is a rare cause of intestinal obstruction. It is characterized by extrinsic compression of third part of duodenum between aorta posteriorly and superior mesenteric artery anteriorly. It occurs due to loss of mesenteric fat between artery and aorta leading to narrowing of normal angle causing compression of duodenum. Here, we report a case of SMA syndrome in a severely malnourished child who was evaluated for symptoms of repeated episodes of bilious vomiting and wrongly diagnosed as gastric volvulus on the basis of upper gastrointestinal (UGI) study. It was found to have superior mesenteric artery syndrome during abdominal exploration.