A CASE OF SUPERIOR MESENTERIC ARTERY SYNDROME WITH GASTRIC PERFORATION

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  • 胃穿孔をきたした上腸間膜動脈性十二指腸閉塞症の1例

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Abstract

A case of superior mesenteric artery syndrome with gastric perforation in a 16-year-old woman is reported. The patient was admitted to the hospital because of abdominal pain and vomiting. Conservative therapy was started with a suspicion of superior mesenteric artery syndrome, but 2days later the abdominal pain was intensified. Emergency operation was performed with a diagnosis of generalized peritonitis. At laparotomy, gastric perforation associated with superior mesenteric syndrome was diagnosed. Partial gastrectomy and dissection of the Treitz' ligament were performed. The postoperative course was uneventful.<br> Dissection of the Treitz' ligament that is minimal invasive is thought to be an appropriate procedure for patients with the disease in poor general condition.

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