Superior Mesenteric Artery Syndrome Caused by Huge Mycotic Abdominal Aortic Aneurysm

  • Saraya Takeshi
    Department of Respiratory Medicine, Kyorin University School of Medicine Department of Internal Medicine, Jiundo Naika Hospital
  • Kurai Daisuke
    Department of Respiratory Medicine, Kyorin University School of Medicine
  • Ariga Masae
    Department of Internal Medicine, Jiundo Naika Hospital
  • Nakamoto Keitaro
    Department of Respiratory Medicine, Kyorin University School of Medicine Department of Internal Medicine, Jiundo Naika Hospital
  • Koide Takashi
    Department of Respiratory Medicine, Kyorin University School of Medicine
  • Tamura Masaki
    Department of Respiratory Medicine, Kyorin University School of Medicine
  • Higaki Manabu
    Department of Respiratory Medicine, Kyorin University School of Medicine
  • Ito Takayoshi
    Department of Internal Medicine, Jiundo Naika Hospital Department of Gastroenterology, Showa University School of Medicine
  • Yoshida Hitoshi
    Department of Internal Medicine, Jiundo Naika Hospital Department of Gastroenterology, Showa University School of Medicine
  • Tanabe Eiichi
    Department of Psychiatry, Jiundo Naika Hospital
  • Tanabe Mitsuko
    Department of Internal Medicine, Jiundo Naika Hospital
  • Goto Hajime
    Department of Respiratory Medicine, Kyorin University School of Medicine

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抄録

A 92-year-old man who had been hospitalized for dementia developed sudden-onset bilious vomiting accompanied by a fever of 40°C. Physical examination revealed an 8 cm diameter pulsatile mass in the upper abdomen. Computed tomography of the abdomen demonstrated a huge infrarenal saccular aneurysm with a lobulated appearance. We considered this to be a mycotic abdominal aortic aneurysm compressing the third portion of the duodenum and causing proximal duodenal dilatation and superior mesenteric artery (SMA) syndrome.<br>

収録刊行物

  • Internal Medicine

    Internal Medicine 48 (12), 1065-1068, 2009

    一般社団法人 日本内科学会

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