十二指腸転位術を施行した上腸間膜動脈性十二指腸閉塞症の1例

• 児島 祐

  奈良県立医科大学第1外科

• 金廣 裕道

  奈良県立医科大学第1外科

• 楯川 幸弘

  奈良県立医科大学第1外科

• 鹿子木 英毅

  奈良県立医科大学第1外科

• 中島 祥介

  奈良県立医科大学第1外科

• 中野 博重

  奈良県立医科大学第1外科

書誌事項

タイトル別名

• A CASE OF SUPERIOR MESENTERIC ARTERY SYNDROME

抄録

A 14-year-old girl was admitted to the department of pediatrics in our hospital because of nausea and vomiting on February 23, 1996. She had been treated for macrohematuria with Nut craker phenomenon on an ambulant basis for one year. Upper gastrointestinal roentgenography showed a straight cut off sign in third portion of the duodenum. Abdominal magnetic resonance images showed a narrowing of the aorto-mesenteric angle (18 degrees) suggestive of superior mecenteric artery syndrome. The patient was treated conservatively initially, however, passage disturbance continuted persistently. Transposition of the doudenum was performed 10 days after admission. She was discharged from the hospital without sequela 28 days after the operation, though she had vomiting transiently from 11th postoperative day. We recommend the transposition of the duodenum, which provides physiologic passage, for cases of superior mesenteric artery syndrome which do not respond to any conservative therapies like this case and thereby demand some surgical therapy.

収録刊行物

• 日本臨床外科学会雑誌

  日本臨床外科学会雑誌 59 (11), 2813-2816, 1998

  日本臨床外科学会

キーワード

• 十二指腸転位術
• 上腸間膜動脈性十二指腸閉塞症

詳細情報

• CRID: 1390001204850061824
• NII論文ID: 130003600717
• NII論文ID: 10008437280
• NII書誌ID: AA11189709
• DOI: 10.3919/jjsa.59.2813
• ISSN: 18825133
• ISSN: 13452843
• Web Site: http://www.jstage.jst.go.jp/article/ringe1998/59/11/59_11_2813/_pdf
• Web Site: https://search.jamas.or.jp/link/ui/1999097529
• データソース種別:
  • JaLC
  • Crossref
  • CiNii Articles
• 抄録ライセンスフラグ: 使用不可