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Superior mesenteric artery syndrome children

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https://www.readbyqxmd.com/read/26804218/pediatric-nonaortic-arterial-aneurysms
#1
Frank M Davis, Jonathan L Eliason, Santhi K Ganesh, Neal B Blatt, James C Stanley, Dawn M Coleman
OBJECTIVE: Pediatric arterial aneurysms are extremely uncommon. Indications for intervention remain poorly defined and treatments vary. The impetus for this study was to better define the contemporary surgical management of pediatric nonaortic arterial aneurysms. METHODS: A retrospective analysis was conducted of 41 children with 61 aneurysms who underwent surgical treatment from 1983 to 2015 at the University of Michigan. Arteries affected included: renal (n = 26), femoral (n = 7), iliac (n = 7), superior mesenteric (n = 4), brachial (n = 3), carotid (n = 3), popliteal (n = 3), axillary (n = 2), celiac (n = 2), ulnar (n = 2), common hepatic (n = 1), and temporal (n = 1)...
February 2016: Journal of Vascular Surgery
https://www.readbyqxmd.com/read/26659453/minimally-invasive-surgery-for-superior-mesenteric-artery-syndrome-a-case-report-and-literature-review
#2
Paul S Cullis, Maeve Gallagher, Atul J Sabharwal, Philip Hammond
INTRODUCTION: Superior mesenteric artery syndrome is a rare condition characterised by nausea, vomiting, postprandial pain, anorexia and early satiety. Conservative management is tried initially, but if this fails, surgery is indicated. There are few reports in the literature concerning superior mesenteric artery syndrome in children, and fewer still managed surgically by minimally invasive means. CASE PRESENTATION: A 12-year-old girl presented with weight loss, early satiety and vomiting after corrective scoliosis surgery...
February 2016: Scottish Medical Journal
https://www.readbyqxmd.com/read/25986021/bronchiolitis-obliterans-organizing-pneumonia-due-to-gastroesophageal-reflux
#3
Jin-Rong Liu, Xue-Feng Xu, Chun-Ju Zhou, Hai-Ming Yang, Shun-Ying Zhao
The most common causes of bronchiolitis obliterans organizing pneumonia (BOOP) are connective tissue diseases, organ transplantation, drug reaction, and infections. Although rare, BOOP due to gastroesophageal reflux (GER) has been reported in adults but not to date in pediatric patients. This study describes 2 pediatric patients who developed GER and BOOP. One patient had superior mesenteric artery syndrome and Helicobacter pylori infection, and the other had a gastroduodenal ulcer with reflux esophagitis. Respiratory symptoms occurred concurrently or after gastrointestinal symptoms...
June 2015: Pediatrics
https://www.readbyqxmd.com/read/25972411/what-else-is-hiding-behind-superior-mesenteric-artery-syndrome
#4
Paola De Angelis, Barbara Daniela Iacobelli, Filippo Torroni, Luigi Dall'Oglio, Pietro Bagolan, Fabio Fusaro
The superior mesenteric artery syndrome (SMAS) is an uncommon condition in children. We describe a case of a 7-year-old boy with SMAS that occurred 3 years after a Deloyers' procedure for subtotal colonic Hirschsprung who was admitted for bilious vomit, abdominal pain and diarrhea due to unrecognized celiac disease. This case emphasize that SMAS in children needs a close medical and surgical follow-up to avoid an underestimation of early clinical signs unrelated to surgery.
2015: Journal of Surgical Case Reports
https://www.readbyqxmd.com/read/25922138/the-utility-of-bioimpedance-analysis-for-monitoring-the-children-with-nutcracker-syndrome
#5
Sevgi Yavuz, Aysel Kıyak, Ali Er, Orhan Korkmaz
UNLABELLED: We aimed to evaluate anthropometric and bioimpedance analysis (BIA) indices of children with nutcracker syndrome (NCS). Eighteen patients and 20 age-gender matched controls were enrolled. Weight, height, body mass index (BMI), mid-arm circumference (MAC), waist circumference (WC), waist/hip ratio measurements, and BIA results were assessed. Laboratory parameters and Doppler sonographic findings were recorded. The weight, BMI, MAC, WC, body fat z scores, and waist/hip ratio were significantly lower in patients than in controls (p < 0...
October 2015: European Journal of Pediatrics
https://www.readbyqxmd.com/read/25835120/megabulbus-in-endoscopy-suspect-for-superior-mesenteric-artery-syndrome-in-children
#6
Ödül Eğritaş, Billur Demiroğullari, Buket Dalgıç
Rarity of Superior Mesenteric Artery Syndrome (SMAS) and necessity of invasive tests to verify the diagnosis leads to patients receiving symptom-oriented drugs for a long period without any definite diagnosis. Diagnostic tests such as barium series, abdominal CT scan, abdominal angiography or magnetic resonance arteriography are used in patients with suspected SMAS. In pediatric patients, a non-invasive SMAS diagnosis may be considered easily with abdominal ultrasound performed by experienced hands. Megabulbus is used as a radiological term; however, reviewing the literature an endoscopic definition for megabulbus was not found...
March 2015: Turkish Journal of Gastroenterology: the Official Journal of Turkish Society of Gastroenterology
https://www.readbyqxmd.com/read/25721841/superior-mesenteric-artery-syndrome-as-a-cause-for-recurrent-abdominal-pain-and-vomiting-in-a-9-year-old-girl
#7
James Michael Forsyth, Karim Muhammad, Khalid Mahmood
A 9-year-old girl was admitted under our general surgical team with 2 days of diffuse abdominal pain and vomiting. This was one of multiple admissions for similar symptoms over the past 5 years. She was feverish on admission but haemodynamically stable. On examination, she had a diffusely tender and hypersensitive abdomen, with no guarding or peritonism, and no palpable masses. Of note, the patient was very thin, with almost no body fat. Blood tests were otherwise normal, with a normal abdominal X-ray and abdominal ultrasound...
February 26, 2015: BMJ Case Reports
https://www.readbyqxmd.com/read/25485845/malroatation-of-gut-with-superior-mesenteric-artery-syndrome-and-multiple-jejunal-diverticula-presenting-as-acute-intestinal-obstruction-in-6th-decade-a-rare-case-report
#8
Dhananjay Saxena, Abhinav Pandey, Rana Arun Singh, Prashant Garg, Rhaul Roy, Rajendra Prasad Bugalia, Amit Goyal, Jeevan Kankaria, R K Jenaw
INTRODUCTION: Intestinal malrotation is a disease of neonates and young children presenting as acute intestinal obstruction. Presentation of malrotation in elderly patients with intestinal obstruction is quite rare with only a few cases reported in literature. We report a case of intestinal malrotation presenting as acute obstruction in sixth decade. PRESENTATION OF CASE: A 55 years old male presented to the emergency with features of acute intestinal obstruction...
2015: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/25111949/transposition-of-the-left-renal-vein-for-the-treatment-of-nutcracker-syndrome-in-children-a-short-term-experience
#9
Brant W Ullery, Nathan K Itoga, Matthew W Mell
BACKGROUND: Nutcracker syndrome is caused by compression of the left renal vein between the superior mesenteric artery and the aorta. Invasive surgical intervention for this pathologic entity is controversial, particularly in the pediatric population. We aim to describe our early clinical and operative experience with such patients. METHODS: We report 3 cases of pediatric patients undergoing successful left renal vein transposition for the treatment of nutcracker syndrome...
November 2014: Annals of Vascular Surgery
https://www.readbyqxmd.com/read/25009395/mesenchymal-stem-cell-therapy-in-patients-with-small-bowel-transplantation-single-center-experience
#10
Sait Murat Doğan, Selçuk Kılınç, Eyüp Kebapçı, Cem Tuğmen, Alp Gürkan, Maşallah Baran, Yusuf Kurtulmuş, Mustafa Olmez, Cezmi Karaca
AIM: To study the effects of mesenchymal stem cell (MSC) therapy on the prevention of acute rejection and graft vs host disease following small bowel transplantation. METHODS: In our transplantation center, 6 isolated intestinal transplants have been performed with MSC therapy since 2009. The primary reasons for transplants were short gut syndrome caused by surgical intestine resection for superior mesenteric artery thrombosis (n = 4), Crohn's disease (n = 1) and intestinal aganglionosis (n = 1)...
July 7, 2014: World Journal of Gastroenterology: WJG
https://www.readbyqxmd.com/read/24677762/fkbp14-related-ehlers-danlos-syndrome-expansion-of-the-phenotype-to-include-vascular-complications
#11
Mitzi L Murray, Margaret Yang, Christine Fauth, Peter H Byers
Biallelic mutations in FKBP14 cause a recessive form of Ehlers-Danlos syndrome (EDS) characterized by progressive kyphoscoliosis, myopathy, and hearing loss. To date, four children and one adult with this condition have been reported. We recently identified a 42-year-old man with severe kyphoscoliosis, restrictive/obstructive lung disease, short stature, mild hearing loss, decreased muscle mass, and a dissection of the celiac artery at age 41. He also had complete occlusion of the superior mesenteric artery with compensatory flow through an enlarged and tortuous inferior mesenteric artery...
July 2014: American Journal of Medical Genetics. Part A
https://www.readbyqxmd.com/read/24627622/renosplenic-shunting-in-the-nutcracker-phenomenon-a-discussion-and-paradigm-shift-in-options-a-novel-approach-to-treating-nutcracker-syndrome
#12
Ng Deborah Chieh Yih, Lee Hwee Chyen, Yang Cunli, Punamiya Sundeep Jaywantraj, Azucena Benedict Cesar Isip, Sule Ashish Anil
The nutcracker syndrome is a rare clinical manifestation of symptoms caused by the compression of the left renal vein by an overriding superior mesenteric artery, an anatomical variant otherwise known as the nutcracker phenomenon. Usually present in women and children, when symptomatic, it commonly presents with hematuria, proteinuria, and chronic pelvic pain. Effective modalities of treatment apart from conservative management, include both invasive surgical procedures such as renal vein transposition and autotransplantation of the kidney and more popular recently, the less invasive endovascular stenting...
March 2014: International Journal of Angiology: Official Publication of the International College of Angiology, Inc
https://www.readbyqxmd.com/read/23960451/optimal-duration-of-medical-treatment-in-superior-mesenteric-artery-syndrome-in-children
#13
Myung Seok Shin, Jae Young Kim
The aim of this study was to investigate the outcome, and optimal duration of medical treatment in children with superior mesenteric artery syndrome (SMAS). Eighteen children with SMAS were retrospectively studied. The data reviewed included demographics, presenting symptoms, co-morbid conditions, clinical courses, nutritional status, treatments, and outcomes. The three most common symptoms were postprandial discomfort (67.7%), abdominal pain (61.1%), and early satiety (50%). The median duration of symptoms before diagnosis was 68 days...
August 2013: Journal of Korean Medical Science
https://www.readbyqxmd.com/read/23523435/the-safety-of-spinal-pedicle-screws-in-children-ages-1-to-12
#14
Terry L Mueller, Nancy H Miller, David M Baulesh, Laurel H Hastings, Franklin M Chang, Gaia Georgopoulos, Elise M Benefield, Zhoaxing Pan, Mark A Erickson
BACKGROUND CONTEXT: Pedicle screws have shown to be a safe and effective method of spinal fixation, offering superior multiplanar correction compared with hooks or sublaminar wires in selected situations. Though only food and drug administration (FDA) approved in the adolescent population, they are commonly used in an off-label manner in the preadolescent population. PURPOSE: To determine if the complication rate of the off-label use of pedicle screws for spinal fixation in the preadolescent 0- to 12-year-old population is comparable with the complication rate in the FDA-approved 13- to 18-year-old population...
August 2013: Spine Journal: Official Journal of the North American Spine Society
https://www.readbyqxmd.com/read/22856415/-nutcracker-syndrome-hematuria-without-diagnosis
#15
Rita Calado, Mónica Braz, Luísa Lobo, Carla Simão
The nutcracker syndrome is associated with left renal vein compression in its passage between the abdominal aorta and superior mesenteric artery. This phenomenon can cause left renal vein hypertension manifested by abdominal pain, hematuria, and pelvic congestion syndrome. The diagnosis is essentially clinical, supported by imaging and necessarily one of exclusion. The literature suggests that it occurs with a reasonable prevalence in children who present with isolated hematuria but is commonly misdiagnosed...
December 2011: Acta Médica Portuguesa
https://www.readbyqxmd.com/read/22579528/nutcracker-and-sma-syndromes-what-is-the-normal-sma-angle-in-children
#16
O J Arthurs, U Mehta, P A K Set
OBJECTIVE: The nutcracker and superior mesenteric artery (SMA) syndromes are rare conditions where the left renal vein or duodenum may be compressed by an unusually acute angle between the SMA and aorta, although the normal angle in children is unknown. We measured the SMA angle to define the normal range in children. METHODS: We retrospectively measured SMA angles, left renal vein (LRV) distance, and duodenal distance (DD) in 205 consecutive pediatric abdominal CT...
August 2012: European Journal of Radiology
https://www.readbyqxmd.com/read/22573421/newly-identified-symptoms-of-left-renal-vein-entrapment-syndrome-mimicking-orthostatic-disturbance
#17
Machiko Koshimichi, Keisuke Sugimoto, Hidehiko Yanagida, Shinsuke Fujita, Tomoki Miyazawa, Naoki Sakata, Mitsuru Okada, Tsukasa Takemura
BACKGROUND: In addition to the urinary abnormalities, symptoms of left renal vein entrapment between the aorta and superior mesenteric artery (left renal vein entrapment syndrome, LRVES) may include abdominal and flank pain as well as chronic fatigue. We investigated various LRVES symptoms in this study. METHODS: In 53 pediatric LRVES patients treated at our department, 22 had a score of 5 points or higher on orthostasis. Initial evaluation of LRVES by abdominal ultrasonography showed a stenotic-to-prestenotic vein diameter ratio of 0...
May 2012: World Journal of Pediatrics: WJP
https://www.readbyqxmd.com/read/22453730/superior-mesenteric-artery-syndrome-in-intellectually-disabled-children
#18
COMPARATIVE STUDY
Joseph M Geskey, Heidi J Erdman, Harry P Bramley, Ronald J Williams, Michele L Shaffer
OBJECTIVES: Superior mesenteric artery syndrome (SMAS) is a rare cause of small intestinal obstruction in pediatric patients. Children with intellectual disabilities are a challenging patient population in which to make this diagnosis. The goal of this study was to determine the frequency, presenting symptoms, and outcomes of SMAS in intellectually disabled and non-intellectually disabled children. METHODS: Retrospective chart review of pediatric patients with SMAS admitted to Penn State Hershey Children's Hospital between January 1999 and July 2010...
April 2012: Pediatric Emergency Care
https://www.readbyqxmd.com/read/21986626/idiopathic-midaortic-syndrome-normalization-of-blood-pressure-on-medication
#19
Haydar Nasser, Guylnar Dib Nehme, Dana Dumitriu, Marie-Agnès Galloy, Rosine Bourquard, Michel Claudon, Jean-Luc Andre
Midaortic syndrome (MAS) is a rare, idiopathic condition in children usually presenting with severe hypertension. We report a case of a 13-year-old girl who presented with severe hypertension (200/110 mmHg) associated with renal artery stenosis and normal renal function (creatinine clearance 110 ml/min/1.73m(2)). Percutaneous angioplasty (PTA) was first performed, but early recurrence of hypertension occurred. Subsequent imaging evaluation demonstrated association of aortic narrowing, proximal stenosis of the left renal artery, and wall thickening of superior mesenteric artery and right common carotid artery...
February 2012: Pediatric Nephrology: Journal of the International Pediatric Nephrology Association
https://www.readbyqxmd.com/read/21920714/-nutcracker-syndrome-a-rare-cause-of-hematuria
#20
R Ben Abdallah Chabchoub, K Chabchoub, I Maaloul, L Gargouri, K Ben Mahfoudh, M Nabil Mhiri, R Mhiri, A Mahfoudh
Nutcracker syndrome is a rare cause of hematuria in children. Clinical signs relate to compression of the left renal vein between the aorta and the superior mesenteric artery. The diagnosis is suggested on cystoscopy, which reveals unilateral hematuria, and confirmed by imaging. We report the case of a 4-year-old child who presented nutcracker syndrome confirmed by CT angiography of the abdomen after excluding the other causes of hematuria. Through this observation, we emphasize the reality of this syndrome in children and the value of imaging in the evaluation of this rare affection...
November 2011: Archives de Pédiatrie: Organe Officiel de la Sociéte Française de Pédiatrie
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