A 26-year-old male with pulmonary Tuberculosis develops persistent postprandial vomiting. Explore the rare gastrointestinal cause behind his symptoms.
A 26-year-old man from Somalia presented with a 5-month history of dry cough, night sweats, and unintentional weight loss of 18 kg. During this period, epigastric pain and postprandial vomiting had also developed. His BMI was 11. On examination, he was cachectic with abdominal distention and diffuse tenderness to palpation. On the basis of chest imaging and sputum studies, a diagnosis of pulmonary tuberculosis was made, and intravenous antituberculous treatment was initiated. However, he continued to have postprandial vomiting. Contrast-enhanced CT of the abdomen was obtained. What is the cause of his abdominal symptoms?
What is the most likely diagnosis?
Aortomesenteric angle, Cachexia, Postprandial vomiting, Superior mesenteric artery syndrome, Tuberculosis
