Megabulbus in endoscopy; suspect for superior mesenteric artery syndrome in children.

Publisher: Aves Country of Publication: Turkey NLM ID: 9515841 Publication Model: Print Cited Medium: Internet ISSN: 2148-5607 (Electronic) Linking ISSN: 13004948 NLM ISO Abbreviation: Turk J Gastroenterol Subsets: MEDLINE

Publication: 2014- : İstanbul,Turkey : Aves
Original Publication: Ankara : Turkish Society of Gastroenterology, 1995-

Endoscopy* ; Tomography, X-Ray Computed*; Gastric Dilatation/*diagnosis ; Superior Mesenteric Artery Syndrome/*complications ; Superior Mesenteric Artery Syndrome/*diagnosis; Abdominal Pain/etiology ; Adolescent ; Gastric Dilatation/diagnostic imaging ; Gastric Dilatation/etiology ; Humans ; Male ; Superior Mesenteric Artery Syndrome/diagnostic imaging ; Superior Mesenteric Artery Syndrome/pathology ; Ultrasonography ; Vomiting/etiology

Rarity of Superior Mesenteric Artery Syndrome (SMAS) and necessity of invasive tests to verify the diagnosis leads to patients receiving symptom-oriented drugs for a long period without any definite diagnosis. Diagnostic tests such as barium series, abdominal CT scan, abdominal angiography or magnetic resonance arteriography are used in patients with suspected SMAS. In pediatric patients, a non-invasive SMAS diagnosis may be considered easily with abdominal ultrasound performed by experienced hands. Megabulbus is used as a radiological term; however, reviewing the literature an endoscopic definition for megabulbus was not found. We decided to mention severely dilated pyloric ring and bulb as megabulbus. Megabulbus might be an indicator for SMAS. This is the first case of SMAS in adult and pediatric age groups presenting with megabulbus.

Date Created: 20150404 Date Completed: 20160105 Latest Revision: 20161125

20250114

10.5152/tjg.2015.4221

25835120