Superior mesenteric artery syndrome in a child with acute gastric dilatation with refractory Guillain-Barré syndrome

Clin Nutr ESPEN. 2019 Aug:32:40-43. doi: 10.1016/j.clnesp.2019.05.007. Epub 2019 May 31.

Abstract

Superior Mesenteric Artery Syndrome (SMAS) resulting from proximal partial small bowel obstruction is one of possible causes of acute gastric dilatation (AGD). A child with refractory demyelinating Guillain-Barré syndrome which received 5 times IVIG and consequently 5 times plasmapheresis intubated until 59th day of admission. Because of complicated treatment and cardiopulmonary resuscitation (CPR) nutrition was completely neglected which lead to severe SMAS because of weight loss. Gradual advancements of continuous enteral and parenteral nutrition improved patient's symptoms significantly. Hypophosphatemia complicated the weaning from ventilator which after nutrition therapy resolved and patient extubated. Present case is the first report of pediatric demyelinating GBS suspected to SMAS.

Keywords: Acute gastric dilatation; Guillain–Barré syndrome; Nutrition therapy; Super mesenteric artery syndrome; Weight loss.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Child
  • Diagnosis, Differential
  • Gastric Dilatation / complications
  • Gastric Dilatation / diagnosis*
  • Gastric Dilatation / therapy
  • Guillain-Barre Syndrome / complications*
  • Humans
  • Male
  • Nutrition Therapy
  • Superior Mesenteric Artery Syndrome / complications
  • Superior Mesenteric Artery Syndrome / diagnosis*