Laparoscopic Treatment of Superior Mesenteric Artery Syndrome
| Autor: | Berchi Fj, E. Portela, M. I. Benavent, P. Urruzuno, I. Cano |
|---|---|
| Rok vydání: | 2001 |
| Předmět: |
Aorta
medicine.medical_specialty Upper gastrointestinal series business.industry medicine.medical_treatment medicine.disease Superior mesenteric vessels Surgery medicine.anatomical_structure medicine.artery Laparotomy Pediatrics Perinatology and Child Health medicine Duodenum Bezoar Superior mesenteric artery Radiology business Superior mesenteric artery syndrome |
| Zdroj: | Pediatric Endosurgery & Innovative Techniques. 5:309-314 |
| ISSN: | 1092-6410 |
| Popis: | Superior mesenteric artery syndrome (SMAS) is a rare condition characterized by recurrent vomiting, abdominal distention, weight loss, and postprandial distress. The cause is compression of the duodenum between vessels and the vertebrae and paravertebrae muscles when the angle between the superior mesenteric vessels and the aorta is lower than 18°. The diagnosis is difficult and usually is made by exclusion. Conservative management is helpful at first; however, symptom recurrence would indicate surgical treatment. We recently treated a patient with SMAS. After extraction of a stomach bezoar by laparotomy, an upper gastrointestinal series suggested duodenal distention and a filling defect in the region of the superior mesenteric artery. Repeated ultrasonographic and abdominal CT scans showed a lateral pulsatile compression in the region of the distal duodenum, and SMAS was the diagnosis. Laparoscopic severing of Treitz's ligament was performed. The operation was successful, recovery was uneventful, and the... |
| Databáze: | OpenAIRE |
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