空腸癒着性イレウスによる上腸間膜動脈症候群の1例 [in Japanese] A CASE OF SUPERIOR MESENTERIC ARTERY SYNDROME CAUSED BY ADHESIVE ILEUS [in Japanese]
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A case of superior mesenteric artery syndrome caused by mechanical ileus due to adhesive bands was reported. An 84-year-old male was admitted to the hospital because of explosive vomiting and body weight loss. There was a history of undergoing cholecystectomy for chronic cholecystitis had been carried out 3 months before. Gastrointestinography and computed tomography of the abdomen revealed that the 3rd portion of the duodenum was obstructed by superior mesenteric artery (SMA) and that the mechanical ileus was suspected at the jejunum. The adhesive band and Treiz's ligament were resected on laparotomy. Postoperative course was uneventful. There has been no evidence of recurrence of the symptoms after the surgery. SMA syndrome is well known as a disease which shows obstruction of the 3rd portion of the duodenum compressed by SMA and which is associated with such diseases that cause body weight loss. In this case, body weight loss and postoperative adhesion are concerned as etiological factors to complete duodenum obstruction. Because anatomical relationship between SMA and duodenum can be changeable by body weight loss, and because adhesive band of the jununum growed inferiorily from Treiz's ligament can reduce the flexible movement of the mesenterium involving SMA.
- The journal of the Japanese Practical Surgeon Society
The journal of the Japanese Practical Surgeon Society 56(2), 375-378, 1995-02-25
Japan Surgical Association