TY - JOUR
T1 - Superior mesenteric artery syndrome in an infant
T2 - case report and literature review
AU - Okugawa, Yoshinaga
AU - Inoue, Mikihiro
AU - Uchida, Keiichi
AU - Kawamoto, Aya
AU - Koike, Yuki
AU - Yasuda, Hiromi
AU - Otake, Kohei
AU - Miki, Chikao
AU - Kusunoki, Masato
PY - 2007/10
Y1 - 2007/10
N2 - Superior mesenteric artery syndrome (SMAS) is an obstruction at the third portion of the duodenum by compression between the superior mesenteric artery and the aorta. In infancy, SMAS is extremely rare; and for its diagnosis, other duodenal obstructive diseases including congenital duodenal stenosis and intestinal malrotation must be ruled out. We present the case of a 7-month-old girl with frequent bilious vomiting after the resolution of acute gastroenteritis. Superior mesenteric artery syndrome was finally diagnosed at laparotomy, and duodenojejunostomy was performed. Vomiting disappeared postoperatively, and she gained weight. Although SMAS is an extremely rare syndrome in infants, it should be considered as a possible cause of incomplete duodenal obstruction.
AB - Superior mesenteric artery syndrome (SMAS) is an obstruction at the third portion of the duodenum by compression between the superior mesenteric artery and the aorta. In infancy, SMAS is extremely rare; and for its diagnosis, other duodenal obstructive diseases including congenital duodenal stenosis and intestinal malrotation must be ruled out. We present the case of a 7-month-old girl with frequent bilious vomiting after the resolution of acute gastroenteritis. Superior mesenteric artery syndrome was finally diagnosed at laparotomy, and duodenojejunostomy was performed. Vomiting disappeared postoperatively, and she gained weight. Although SMAS is an extremely rare syndrome in infants, it should be considered as a possible cause of incomplete duodenal obstruction.
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U2 - 10.1016/j.jpedsurg.2007.07.002
DO - 10.1016/j.jpedsurg.2007.07.002
M3 - Article
C2 - 17923187
AN - SCOPUS:34848844889
SN - 0022-3468
VL - 42
SP - e5-e8
JO - Journal of Pediatric Surgery
JF - Journal of Pediatric Surgery
IS - 10
ER -