A Case of a Gastric Bezoar Combined with Superior Mesenteric Artery Syndrome / 대한소화기내시경학회지
Korean Journal of Gastrointestinal Endoscopy
;
: 271-275, 2008.
Artigo
em Coreano
| WPRIM
| ID: wpr-183192
ABSTRACT
Superior mesenteric artery syndrome is caused by compression of the third part of the duodenum between the superior mesenteric artery (SMA) and the aorta. Recently, we experienced a case of a gastric bezoar combined with SMA syndrome. A 58-year-old man presented with upper abdominal pain, bloating and weight loss of 5 kg. An endoscopic examination identified a huge gastric bezoar. The bezoar was broken and fragmented into small pieces using an argon plasma coagulator and endoscopic snare catheter. Hypotonic duodenography showed a longitudinal linear band that was presumed to be a vascular impression of the third portion of the duodenum and contrast-enhanced spiral CT showed a reduced distance of 8.4 mm but a normal angle of 38.5degrees between the arota and the SMA. A second endoscopic examination demonstrated prominent pulsations that compressed the duodenal wall at the third portion. Luminal expansion with full inflation of air was not attempted under endoscopy.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Aorta
/
Fenobarbital
/
Argônio
/
Plasma
/
Síndrome da Artéria Mesentérica Superior
/
Bezoares
/
Redução de Peso
/
Dor Abdominal
/
Artéria Mesentérica Superior
/
Tomografia Computadorizada Espiral
Tipo de estudo:
Estudo prognóstico
Limite:
Humanos
Idioma:
Coreano
Revista:
Korean Journal of Gastrointestinal Endoscopy
Ano de publicação:
2008
Tipo de documento:
Artigo
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