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Superior mesenteric artery syndrome

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https://www.readbyqxmd.com/read/27914348/favorable-minimal-invasive-surgery-in-the-treatment-of-superior-mesenteric-artery-syndrome-case-report
#1
Leandro Cardoso Barchi, Aline Marcílio Alves, Carlos Eduardo Jacob, Claudio José Caldas Bresciani, Osmar Kenji Yagi, Tarsila Gasparotto Nogueira, Ivan Cecconello, Bruno Zilberstein
INTRODUCTION: The Superior Mesenteric Artery Syndrome (SMAS) is a rare form of intestinal obstruction. The diagnosis is based on findings from imaging studies, including vascular compression of the duodenum by the SMA and can be associated with duodenal dilatation. PRESENTATION OF CASE: We report a case of a patient with SMAS and recurrent episodes of intestinal obstruction, which was successfully treated by laparoscopic duodenojejunostomy. DISCUSSION: The initial treatment is usually conservative for patient's clinical improvement...
October 26, 2016: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/27890893/successful-coil-embolization-of-an-aneurysm-in-the-arc-of-b%C3%A3-hler
#2
Fumie Sugihara, Satoru Murata, Fumio Uchiyama, Jun Watari, Hiroto Tajima, Shin-Ichiro Kumita
In the present report, we describe a case of a patient with an asymptomatic aneurysm in the arc of Bühler (AOB), which was successfully treated by transcatheter arterial embolization. The patient presented with severe stenosis of the celiac trunk, which was suspected to be due to median arcuate ligament syndrome. Arteriography of the superior mesenteric artery indicated a rapid stream in an aneurysm in the AOB. Hence, embolization was carefully performed using detachable coils and microcoils. An arteriography performed after embolization did not show any aneurysm, and the hepatic artery and splenic artery could be detected via the pancreatic arcade, originating from the superior mesenteric artery...
2016: Journal of Nippon Medical School, Nippon Ika Daigaku Zasshi
https://www.readbyqxmd.com/read/27833827/unusual-manifestation-of-superior-mesenteric-artery-syndrome-in-a-female-patient-a-case-presentation
#3
Christian Fisahn, Marc Moisi, Randle Umeh, Scott Sylvester, Prasanthi Maddali, Susan J Tubbs, Rod J Oskouian, Marios Loukas, R Shane Tubbs
Superior mesenteric artery (SMA) syndrome is a rare clinical entity. We report a female patient presenting with abdominopelvic pain and diagnosed with superior mesenteric artery syndrome. Direct venography revealed a large ovarian varix that was treated with hysterectomy and unilateral oophorectomy. SMA syndrome can have many presentations often with small bowel obstruction. Obstruction of only the ovarian vein with resultant ovarian varix is an unusual presentation.
September 22, 2016: Curēus
https://www.readbyqxmd.com/read/27777480/abdominal-vascular-syndromes-characteristic-imaging-findings
#4
Leandro Cardarelli-Leite, Fernanda Garozzo Velloni, Priscila Silveira Salvadori, Marcelo Delboni Lemos, Giuseppe D'Ippolito
Abdominal vascular syndromes are rare diseases. Although such syndromes vary widely in terms of symptoms and etiologies, certain imaging findings are characteristic. Depending on their etiology, they can be categorized as congenital-including blue rubber bleb nevus syndrome, Klippel-Trenaunay syndrome, and hereditary hemorrhagic telangiectasia (Rendu-Osler-Weber syndrome)-or compressive-including "nutcracker" syndrome, median arcuate ligament syndrome, Cockett syndrome (also known as May-Thurner syndrome), and superior mesenteric artery syndrome...
July 2016: Radiologia Brasileira
https://www.readbyqxmd.com/read/27747293/a-case-series-of-laparoscopic-duodenojejunostomy-for-the-treatment-of-pediatric-superior-mesenteric-artery-syndrome
#5
F J Bohanon, O Nunez Lopez, B M Graham, L W Griffin, R S Radhakrishnan
Superior mesenteric artery syndrome (SMAS) is a rare, debilitating clinical condition caused by compression of the third portion of the duodenum by the superior mesenteric artery. Common symptoms include intermittent postprandial abdominal pain, nausea, weight loss, and bilious vomiting. Here we present a case series of three patients with SMAS who were treated with laparoscopic duodenojejunostomy. Patients were females between 12-17 years old. All patients underwent a successful laparoscopic duodenojejunostomy after diagnosis...
2016: International Journal of Surgery and Research
https://www.readbyqxmd.com/read/27682707/severe-malnutrition-causing-superior-mesenteric-artery-syndrome-in-an-adolescent-with-triple-a-syndrome
#6
Christy Foster, Abha Choudhary
Triple A syndrome, formerly known as Allgrove syndrome (AS), is characterized by achalasia, alacrima and adrenal insufficiency. Here we report an adolescent male with adrenal insufficiency who developed severe malnutrition secondary to a delayed diagnosis of achalasia. The severe malnutrition in our patient led to superior mesenteric artery (SMA) obstruction syndrome. Severe malnutrition to the point of SMA syndrome has not been previously described in the literature in Triple A syndrome.
October 1, 2016: Journal of Pediatric Endocrinology & Metabolism: JPEM
https://www.readbyqxmd.com/read/27649112/nutcracker-syndrome-laparoscopic-external-stenting-of-the-renal-vein-the-shield-technique
#7
Fernando Korkes, Marcel Silveira, Oseas Castro Neves-Neto, Luiz Franco Brandão, Marcos Tobias-Machado, Nelson Wolosker, Felipe Nasser, Alexandre Maurano
Nutcracker syndrome refers to the complex of clinical symptoms caused by the compression of the left renal vein (LRV) between the abdominal aorta and the superior mesenteric artery, leading to stenosis of the aortomesenteric portion of the LRV and dilatation of the distal portion. Hematuria, proteinuria, flank pain, varicocele and pelvic congestion may occur, occurring more frequently in young adults. Conservative management, might be the option whenever it is possible. When surgical treatment is required, classically open surgery have been performed, with major surgeries as LRV transposition or bypass techniques...
September 20, 2016: International Braz J Urol: Official Journal of the Brazilian Society of Urology
https://www.readbyqxmd.com/read/27646321/superior-mesenteric-artery-syndrome-as-a-cause-of-acute-pancreatitis
#8
Shinichi Kojima, Kei Suzuki, Naoyuki Katayama, Hiroshi Imai
No abstract text is available yet for this article.
2016: BMJ Case Reports
https://www.readbyqxmd.com/read/27594946/lessons-learned-from-a-case-of-multivessel-median-arcuate-ligament-syndrome-in-the-setting-of-an-arc-of-buhler
#9
Kevin O'Brien, Hector Ferral
The median arcuate ligament (MAL) can rarely compress both the celiac axis and superior mesenteric artery. We present a case of a 70-year male who presented with isolated episodes of upper abdominal pain and diarrhea associated with sweats and nausea. Angiography images demonstrated complete occlusion of the celiac axis and compression of the superior mesenteric artery during the expiration phases. The celiac axis was reconstituted distal to its origin by a patent Arc of Buhler. Other reported cases of multivessel MALs have produced severe symptoms in young adults requiring surgical and/or endovascular intervention...
September 2016: Radiology case reports
https://www.readbyqxmd.com/read/27560288/median-arcuate-ligament-syndrome-predictor-of-ischemic-complications
#10
Agata Arazińska, Michał Polguj, Andrzej Wojciechowski, Łukasz Trębiński, Ludomir Stefańczyk
Median arcuate ligament syndrome (MALS) is a pathologic entity that can affect the celiac axis. Due to the extensive collateral network of mesenteric circulation, stenosis of one mesenteric artery does not lead to significant symptoms. The purpose of this study was to describe multidetector computed tomography (MDCT) angiography findings of celiac artery entrapment by the median arcuate ligament and determine those patients with high risks of ischemic complications. From January 2012 to March 2016, 103 patients with celiac artery (CA) compression by median arcuate ligament were detected...
November 2016: Clinical Anatomy
https://www.readbyqxmd.com/read/27554828/acute-small-bowel-obstruction-due-to-a-large-intraluminal-blood-clot-after-laparoscopic-roux-en-y-gastric-bypass
#11
Jessica Green, Tomoko Ikuine, Shoshana Hacker, Hernan Urrego, Karleena Tuggle
Small bowel obstructions (SBOs) are a known perioperative complication of laparoscopic Roux-en-Y gastric bypass and common etiologies include internal hernia, port site hernia, jejunojejunostomy stricture, ileus and adhesions. Less commonly, SBO can be caused by superior mesenteric artery syndrome, intussusception and intraluminal blood clot. We present a case of SBO caused by intraluminal blood clot from jejunojejunostomy staple line bleeding in a patient with a normal coagulation profile. Computed tomography was used to elucidate the cause of perioperative SBO, and diagnostic laparoscopy was used to both diagnose and treat the complication...
August 23, 2016: Journal of Surgical Case Reports
https://www.readbyqxmd.com/read/27532538/anemia-revealing-a-rare-association-superior-mesenteric-artery-syndrome-and-nutcracker-syndrome
#12
Taieb Jomni, Mouna Larguech, Imene Abdelaali, Mehdi Charfi, Mohamed Hédi Dougui
No abstract text is available yet for this article.
February 2016: La Tunisie Médicale
https://www.readbyqxmd.com/read/27523019/superior-mesenteric-artery-syndrome-presented-with-parkinson-s-disease
#13
Hirofumi Goto, Hiroharu Kawakubo, Koichi Miyahara, Hiroaki Kawasoe
No abstract text is available yet for this article.
2016: Internal Medicine
https://www.readbyqxmd.com/read/27522707/-sphincter-ochsner-dyskinesia-as-a-cause-of-superior-mesenteric-artery-syndrome
#14
REVIEW
M D Levin
OBJECTIVE: to investigate the pathological physiology of superior mesenteric artery syndrome (SMAS). MATERIAL AND METHODS: We selected 35 articles devoted to SMAS, which were published from 1990 to 2014, and performed radiometric analysis of X-rays, CT scans and MRI slices found in these articles. In pictures the narrowing in the third part of the duodenum was measured from the boundary of the expanded segment to the level of the superior mesenteric artery (SMA)...
March 2016: Vestnik Rentgenologii i Radiologii
https://www.readbyqxmd.com/read/27506751/superior-mesenteric-artery-sma-syndrome-an-unusual-cause-of-intestinal-obstruction-in-palliative-care
#15
Chun-Yan So, Kwok-Ying Chan, Ho-Yan Au, Man-Lui Chan, Theresa Lai
Superior mesenteric artery (SMA) syndrome is an uncommon cause of intestinal obstruction and seldom been mentioned in palliative care. Hereby, we reported a case of SMA syndrome who presented with symptoms of upper intestinal obstruction in a 68-year-old patient; subsequent CT findings were classical of SMA syndrome. The patient's history of poliomyelitis and recent significant weight loss were the predisposing factors for SMA syndrome. It also highlights the importance of monitoring signs and symptoms of intestinal obstruction in such patients before considering switching to oral feeding...
July 14, 2016: Annals of Palliative Medicine
https://www.readbyqxmd.com/read/27504378/superior-mesentric-artery-syndrome-in-a-patient-with-subacute-intestinal-obstruction-a-case-report
#16
Amarjit Kaur, Naveen Chandrashekhar Pawar, Sonam Singla, Jaswinder Kaur Mohi, Shivani Sharma
Superior Mesenteric Artery (SMA) syndrome is one of the rare cause of proximal small bowel obstruction wherein, the third part of the duodenum is compressed between the SMA at its origin and abdominal aorta due to decreased angulations in these two vessels. This decreased angulation exerts a compression effect on third part of the duodenum, resulting in duodenal obstruction which may be complete or partial. There are number of causes which can lead to this entity and will be discussed briefly. Here we report imaging findings of such a rare cause of proximal small bowel obstruction in a young male patient who presented to the emergency surgical department with non specific symptoms of pain abdomen and abdominal fullness...
June 2016: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/27488087/moderate-hypothermia-improves-cardiac-and-vascular-function-in-a-pig-model-of-ischemic-cardiogenic-shock-treated-with-veno-arterial-ecmo
#17
Fabrice Vanhuyse, Nicolas Ducrocq, Huguette Louis, Narimane Al Kattani, Nicolas Laurent, Frédérique Joineau-Groubatch, Aude Falanga, Juan-Pablo Maureira, Antoine Kimmoun, Nicolas Girerd, Nguyen Tran, Bruno Levy
Cardiogenic shock (CS) patients treated with ECMO have severe cardiac failure, associated with ischemia-reperfusion. The use of moderate hypothermia during ischemia-reperfusion syndrome is supported by experimental data. We therefore studied the effects of moderate hypothermia on cardiac and vascular function in pig ischemic CS treated with veno-arterial extracorporeal membrane oxygenation (VA-ECMO).Cardiogenic shock was induced in 12 anesthetized pigs by coronary ligation. After one hour of CS, VA-ECMO was initiated and pigs were randomized to normothermia (38°C) or moderate hypothermia (34°C) during 8 hours...
August 2, 2016: Shock
https://www.readbyqxmd.com/read/27477411/superior-mesenteric-artery-syndrome-complicated-by-diabetic-ketoacidosis-and-graves-disease-in-slowly-progressive-insulin-dependent-diabetes-mellitus-spiddm-a-case-report-and-a-review-of-the-literature
#18
Hiroyuki Hirai, Naotaro Fukushima, Koji Hasegawa, Tsuyoshi Watanabe, Osamu Hasegawa, Hiroaki Satoh
A 48-year-old woman with a history of diabetes was admitted for nausea and vomiting with body weight loss. A blood examination revealed high plasma glucose and thyroid hormone levels and metabolic acidosis. She was therefore diagnosed with both diabetic ketoacidosis (DKA) and hyperthyroidism. Nausea and vomiting continued intermittently despite the administration of saline and insulin. The patient was further diagnosed with superior mesenteric artery syndrome (SMAS) after abdominal computed tomography revealed that a horizontal portion of the duodenum was sandwiched between the aorta and the superior mesenteric artery...
2016: Internal Medicine
https://www.readbyqxmd.com/read/27457852/laparoscopic-duodenojejunostomy-for-superior-mesenteric-artery-syndrome
#19
Charles Fredericks, Gillian Alex, Vishal Kumar, Minh Luu
No abstract text is available yet for this article.
July 2016: American Surgeon
https://www.readbyqxmd.com/read/27405482/laparoscopic-duodenojejunostomy-for-superior-mesenteric-artery-syndrome-intermediate-follow-up-results-and-a-review-of-the-literature
#20
Julietta Chang, Mena Boules, John Rodriguez, Matthew Walsh, Raul Rosenthal, Matthew Kroh
BACKGROUND: Superior mesenteric artery syndrome (SMAS) is a rare condition caused by partial obstruction of the third portion of the duodenum by the SMA anteriorly and aorta posteriorly. Laparoscopic duodenojejunostomy has been described as a safe and feasible surgical intervention with favorable short-term outcomes. However, descriptions of intermediate outcomes are lacking in the literature. METHODS: A retrospective chart review was performed on patients who underwent minimally invasive duodenojejunostomy from March 2005 to August 2015 at our healthcare system with greater than 6-month follow-up...
July 12, 2016: Surgical Endoscopy
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