Case Presentation: A 24-year-old man with a past medical history of mitochondrial encephalopathy with lactic acidosis and stroke-like episodes (MELAS), malnutrition status-post percutaneous endoscopic gastrostomy (PEG) tube placement, and superior mesenteric artery (SMA) syndrome presented to the hospital with generalized tonic-clonic seizures and severe lactic acidosis. His seizures were treated with levetiracetam, and his lactic [...]

Case Presentation: Superior mesenteric artery syndrome is a rare condition characterized by symptoms resulting from vascular compression or obstruction of third part of duodenum in the angle between the aorta and the superior mesenteric artery. It has an estimated 0.013–0.3% prevalence (1) Discussion: A 30-year-old woman presented to the emergency department with epigastric abdominal pain, [...]