Syndrome of duodenal compression by the superior mesenteric artery following restorative proctocolectomy: a case report and review of literature

Sao Paulo Medical Journal

Claudio De Oliveira Matheus²  Jaques Waisberg²  Maria Helena De Toledo Zewer¹  Antonio Claudio De Godoy² 

[1] ,Hospital do Servidor Público Estadual Coloproctology Unit Surgical Gastroenterology DepartmentSão Paulo,Brazil

关键词: Superior mesenteric artery syndrome;    Duodenal obstruction;    Superior mesenteric artery;    Restorative proctocolectomy;    Síndrome da artéria mesentérica superior;    Obstrução duodenal;    Artéria mesentérica superior;    Proctocolectomia restauradora;   

DOI  :  10.1590/S1516-31802005000300013

来源: SciELO

【 摘 要 】

CONTEXT: Restorative proctocolectomy with anastomosis of an ileal pouch to the anal canal is a new and rare cause for triggering the syndrome of duodenal compression by the superior mesenteric artery. Restorative proctocolectomy requires assessment of the position of the duodenum in relation to aortomesenteric constriction to avoid the occurrence of duodenal compression by the superior mesenteric artery. CASE REPORT: The authors report on a case of this syndrome in a patient with familial adenomatous polyposis and review the literature on the etiopathogenesis, diagnosis, treatment and prevention of this unusual entity.

【 授权许可】

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