The Identification of Superior Mesenteric Artery Syndrome Established by Endoscopic Ultrasound in a Patient with Severe Gastroptosis / 대한소화기내시경학회지
Korean Journal of Gastrointestinal Endoscopy
; : 121-125, 2010.
Article
em Ko
| WPRIM
| ID: wpr-82752
Biblioteca responsável:
WPRO
ABSTRACT
Superior mesenteric artery (SMA) syndrome is caused by compression of the transverse part of the duodenum between the SMA and the aorta, where the distance between these vessels decreases with loss of mesenteric fat. It occurs most frequently in patients with rapid weight loss. Conventionally, the diagnosis is established by digital fluoroscopy and contrast-enhanced spiral computed tomography (CT). A 17-year old woman was admitted via the emergency department with postprandial fullness, nausea, and bile stained vomiting. The initial radiological examination revealed severe gastroptosis. Fluoroscopic evaluation after barium swallowing failed due to a markedly distended stomach. The diagnosis of SMA syndrome was made by endoscopic ultrasound (EUS) using a mini-probe. EUS findings were in good agreement with the CT angiogram. A conservative trial was attempted, but symptoms remained refractory. Surgery was an alternative option and we treated the patient successfully with laparoscopic duodeno-jejunostomy.
Palavras-chave
Texto completo:
1
Índice:
WPRIM
Assunto principal:
Aorta
/
Estômago
/
Síndrome da Artéria Mesentérica Superior
/
Bário
/
Vômito
/
Bile
/
Fluoroscopia
/
Redução de Peso
/
Artéria Mesentérica Superior
/
Deglutição
Tipo de estudo:
Diagnostic_studies
/
Prognostic_studies
Limite:
Female
/
Humans
Idioma:
Ko
Revista:
Korean Journal of Gastrointestinal Endoscopy
Ano de publicação:
2010
Tipo de documento:
Article