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Published: 2024-03-29
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DOI: https://doi.org/10.52852/tcncyh.v175i2.2233
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Vol. 175 No. 2 (2024)
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Sơn, T. Q., Học, T. H., & Kiên, Đỗ T. (2024). 29. Duodenal obstruction caused by superior mesenteric artery syndrome: Case report and literature review. Journal of Medical Research, 175(2), 248-254. https://doi.org/10.52852/tcncyh.v175i2.2233

29. Duodenal obstruction caused by superior mesenteric artery syndrome: Case report and literature review

Tran Que Son, Tran Hieu Hoc, Do Trung Kien

Main Article Content

Abstract

Superior mesenteric artery syndrome is a rare pathology caused by the compressed third part of the duodenum between the superior mesenteric artery and the abdominal aorta. We report the case of a 44-year-old male patient admitted to the hospital with symptoms such as vomiting and abdominal pain. Computed tomography of the abdomen showed that the stomach, second and third part of the duodenum were enlarged, and the transition point is next to the superior mesenteric artery. The angle created by the superior mesenteric artery and aorta through two scans was 16o and 20o, respectively. Due to the failure of initial attempts at conservative treatment, the patient underwent laparotomy and duodenojejunostomy with complete relief of symptoms with a 16 cm long incision. Patient was discharged from the hospital on the 8th days after laparotomy without complications. Superior mesenteric artery syndrome is a rare but dangerous condition in patients presenting with duodenal obstruction. Computed tomography plays an essential role in the diagnosis of this pathology.

Article Details

Keywords

SMA syndrome, intestinal obstruction, duodenojejunostomy, syndrome

References

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