Subject(s)
Pancreaticojejunostomy/methods , Anesthesia, General , Animals , Cyanoacrylates/administration & dosage , Follow-Up Studies , Humans , Intubation , Models, Animal , Pancreatic Ducts , Pancreatic Fistula/etiology , Pancreatic Fistula/prevention & control , Proteins/administration & dosage , Swine , Time Factors , Tissue Adhesives/administration & dosage , Treatment OutcomeABSTRACT
A 36-year-old male patient presented with a 3 cm aneurysm of the proximal splenic artery, which originated from the superior mesenteric artery. A surgical management was decided. Exposure of the superior mesenteric artery by a Kocher manoeuvre allowed a safe control of the proximal superior mesenteric artery and the ligation of the aneurysm. Splenic preservation was possible and the postoperative course was uneventful. The aneurysm localization on an anatomical variation of the splenic artery has modified the therapeutic strategy.
Subject(s)
Aneurysm , Mesenteric Artery, Superior , Splenic Artery , Adult , Aneurysm/diagnosis , Aneurysm/diagnostic imaging , Aneurysm/surgery , Angiography , Humans , Ligation , Male , Mesenteric Artery, Superior/diagnostic imaging , Splenic Artery/diagnostic imaging , Tomography, X-Ray ComputedABSTRACT
UNLABELLED: Superior mesenteric artery syndrom is a condition triggered by the compression of the third portion of the duodenum between the superior mesenteric artery and the aorta. OBSERVATIONS: A twenty-one year old woman with a significant past history of neurological disease was referred for bilious vomiting and epigastric pain. The diagnosis of superior mesenteric artery syndrom was established by abdominal CT-scan. A laterolateral duodenojejunostomy was performed by laparotomy. After six months follow-up, this patient was asymptomatic. CONCLUSION: Superior mesenteric artery syndrom can be easily diagnosed by abdominal CT-scan. Diagnosis and management of this infrequent syndrom are reviewed.
