Superior Mesenteric Artery Syndrome in a 20-year-old Athletic Female with Abdominal Pain

To the Editor： A 20-year-old female college student and soccer player presented to the Emergency Department with acute onset of abdominal pain, nausea, and vomiting. On the morning of presentation, she woke up with sudden onset of epigastric pain that was constant and 10/10 in severity. The patient denied any obstipation, constipation, diarrhea, any recent trauma to the abdomen, or any potential inciting event. Of note, the patient did endorse previous episodes of postprandial epigastric pain, but it was never this severe. Her past medical and surgical history was unremarkable.