A CASE OF SUPERIOR MESENTERIC ARTERY SYNDROME
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概要
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A 14-year-old girl was admitted to the department of pediatrics in our hospital because of nausea and vomiting on February 23, 1996. She had been treated for macrohematuria with Nut craker phenomenon on an ambulant basis for one year. Upper gastrointestinal roentgenography showed a straight cut off sign in third portion of the duodenum. Abdominal magnetic resonance images showed a narrowing of the aorto-mesenteric angle (18 degrees) suggestive of superior mecenteric artery syndrome. The patient was treated conservatively initially, however, passage disturbance continuted persistently. Transposition of the doudenum was performed 10 days after admission. She was discharged from the hospital without sequela 28 days after the operation, though she had vomiting transiently from 11th postoperative day. We recommend the transposition of the duodenum, which provides physiologic passage, for cases of superior mesenteric artery syndrome which do not respond to any conservative therapies like this case and thereby demand some surgical therapy.
- 日本臨床外科学会の論文
日本臨床外科学会 | 論文
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