superior mesenteric artery disease + CMT type 2

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This is a research abstract from Kaohsiung J Med Sci. 2001

Sep;17(9):484-8. (HMSN is CMT)

Superior mesenteric artery syndrome associated with hereditary motor and

sensory neuropathy type II--a case report.

Lin LC, Lee IH, Yang RC, Jong YJ.

Department of Pediatrics, College of Medicine, Kaohsiung Medical

University, No. 100, Shih-Chuan 1st Rd., Kaohsiung 80708, Taiwan.

A 14-year-old girl with superior mesenteric artery (SMA) syndrome

associated with hereditary motor and sensory neuropathy (HMSN) type II

is reported. The initial presentations of HMSN type II were

developmental delay and gait disturbance at 2 years of age. All deep

tendon reflexes were absent. Nerve conduction velocities and left sural

nerve biopsy all revealed axonal changes. Recently, she suffered from

intermittent bilious vomiting and epigastralgia for 6 months. That

caused body weight loss from 40 kg to 28 kg. Abdominal echography showed

narrowed superior mesenteric artery angle. Upper gastrointestinal series

revealed obstruction of third portion of duodenum. Accordingly, SMA

syndrome was diagnosed. To the best of our knowledge, this case is the

first report of SMA with HMSN type II in the world. When a child with

chronic neurological disease presents with intermittent vomiting, SMA

should be considered as a disease entity of differential diagnosis.

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here is another link that mentions superior mesenteric artery syndrome

at the end.

http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve & db=pubmed & dopt=Abstra\

ct & list_uids=3955951