DOI: 10.36347/sjmcr.2021.v09i08.018

Pages: 824-825

Aorto-mesenteric Clamp syndrome is a rare disorder. The diagnosis is clinical and then radiological. Treatment is first medical and then surgical in case of failure. The aim of this work is to focus on this pathology. An 18-year-old patient, who for a month and a half presented with early postprandial vomiting, associated with diffuse abdominal pain and constipation, all of this resulted in an inability to perform and a deterioration of the general condition of the patient along with an estimated weight loss of 10 kg. The clinical examination gave confusing results, the patient was hemodynamically and respiratory stable, but also cachectic, dehydrated, along with a distended, with the presence of epigastric bruising. The biological assessment showed u renal failure associated with fluid and electrolyte disturbances. ASP did not show any hydroaeric levels. Abdominal CT without and with PDC injection was in favor of aorto-mesenteric clamp syndrome (AMCS). Medical treatment was mainly symptomatic. Five days after its admission, the patient's neurological and respiratory status worsened and the patient required assisted ventilation. The patient passed away on Day 2 post-intubation.