Laparoscopic Operation for Superior Mesenteric Artery Syndrome and Follow-up with 3-Dimensional Reconstructive CT: 1 Case Report
Journal of the Korean Association of Pediatric Surgeons
;
: 180-185, 2005.
Article
Dans Coréen
| WPRIM
| ID: wpr-224663
ABSTRACT
Superior mesenteric artery (SMA) syndrome is a rare disorder caused by extrinsic compression of the third portion of the duodenum by the SMA. The operative treatment of choice is bypassing the obstructed duodenal segment by duodenojejunostomy. We report one case of SMA syndrome treated by laparoscopic duodenojejunostomy and followed up by 3D-reconstructive CT scan. A fifteen-year-old boy with intermittent vomiting and weight loss was admitted. Ultrasonography showed narrowing of the distance between the SMA and aorta. Hypotonic duodenography showed dilatation of duodenal third portion and barium stasis. On 3D-reconstructive CT scan, the angle between SMA and aorta was 37 degrees. The postoperative course was uneventful. Three months later, he had gained 3 kg of weight and the angle between SMA and aorta increased to 38-39 degrees on 3D reconstructive CT scan. Laparoscopic duodenojejunostomy for bypassing the obstructive duodenum in SMA syndrome is a feasible and safe method.
Texte intégral:
Disponible
Indice:
WPRIM (Pacifique occidental)
Sujet Principal:
Aorte
/
Syndrome de l'artère mésentérique supérieure
/
Baryum
/
Vomissement
/
Perte de poids
/
Tomodensitométrie
/
Échographie
/
Artère mésentérique supérieure
/
Dilatation
/
Duodénum
Type d'étude:
Etude diagnostique
Limites du sujet:
Humains
/
Mâle
langue:
Coréen
Texte intégral:
Journal of the Korean Association of Pediatric Surgeons
Année:
2005
Type:
Article
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