# Confluence of Challenges: A Case Report of Superior Mesenteric Artery Syndrome Coexisting With Depressive Illness, Severe Weight Loss, and an Incidental Adnexal Cyst

## TL;DR

A 24-year-old woman with depression, weight loss, and vomiting was found to have SMA syndrome and an ovarian cyst, which were successfully treated.

## Contribution

This case report highlights the rare coexistence of SMA syndrome with depressive illness and an adnexal cyst.

## Key findings

- The patient was diagnosed with SMA syndrome and an incidental adnexal cyst after initial misdiagnosis.
- Treatment with electrolyte correction and laparoscopic duodenojejunostomy led to recovery.
- Depressive illness and severe weight loss were significant contributing factors to SMA syndrome.

## Abstract

In the case of a 24-year-old woman experiencing depressive illness, weight loss, vomiting, and hypoglycemia, initial suspicion of gastroenteritis shifted to reveal compensated metabolic acidosis and electrolyte imbalances. A subsequent CT scan revealed both superior mesenteric artery (SMA) syndrome and an incidental adnexal cyst, leading to treatment involving electrolyte correction and laparoscopic duodenojejunostomy, ultimately facilitating her recovery.