Abstract
ÖZ:
Superior
mezenter arter (SMA) sendromu duodenumun üçüncü kıtasının aorta ve SMA
proksimal kısmı arasında basıya uğraması sonucu ortaya çıkan ve nadir görülen
bir klinik tablodur. Belirgin kilo kaybı ile birlikte giden bulantı, kusma,
anoreksiya, epigastrik ağrı ve şişkinlik başlıca yakınmalardır. Sık
karşılaşılan nedenlerle açıklanamayan hızlı kilo kaybı, atipik ve tekrarlayan
obstrüktif bulguları olan hastalarda SMA sendromu düşünülmelidir. Bu yazıda
atipik şikayetleri olması nedeniyle tanı güçlüğü yaşayan hastanın yaşam
kalitesini uzun süre bozan superior mezenter arter sendromlu bir olgu sunulmuş
tanı ve tedavi yöntemleri tartışılmıştır.
Anahtar Kelimeler: Süperior mezenter
arter sendromu; kilo kaybı; karın ağrısı
ABSTRACT:
Superior mesenteric artery (SMA)
syndrome is a rare clinical condition caused by compression of the third
portion of the duodenum by the SMA. Vomiting associated with significant weight
loss, epigastric pain, and postprandial discomfort are main symptoms. The
diagnosis of SMA syndrome should be considered in patients with rapid weight
loss who develop atypical, recurrent obstructive symptoms not attributable to
other common causes. Here in we presented a patient with SMA syndrome and
discussed the diagnostic difficulties and treatment options.
Key Words: Superıor Mesenteric
Artery Sendyrome; Weight loss; Abdominal Pain
References
- 1. Wilkie DPD. Chronic duodenal ileus. Am J Med Sci 1927;173:643-649 2. Welsch T, Büchler MW, Kienle P. Recalling superior mesenteric artery syndrome. Dig Surg 2007;24(3):149-56. Epub 2007 Apr 27.3. Yang WL, Zhang XC. Assessment of duodenal circular drainage in treatment of superior mesenteric artery syndrome. World J Gastroenterol 2008 Jan 14;14(2):303-6.4. Ünal A, Celal K. Superior mezenterik arter sendromunda cerrahi yaklaşım. Akademik Gastroenteroloji Dergisi 2007; 6: 153-7.5. Welsch T, Büchler MW, Kienle P. Recalling superior mesenteric artery syndrome. Dig Surg 2007; 24: 149– 6.6. Koray Ö. Hakan C. Kafa travması geçiren bir hastada süperior mezenterik arter sendromu. Ulus Travma Derg 2004;10: 264- 7.7. Siva P, Edward G. Superior mesenteric artery syndrome: spectrum of CT findings with multiplanar reconstructions and 3-D imaging. Abdom Imaging (2012) DOI: 10.1007/ s00261-012-9852-z8. Ali H, Orhan K. Superior mezenterik arter (Wilkie’s) sen¬dromu. The Medical Journal of Kocatepe 2007; 8: 23- 6.9. Jihui L, Elias C. Laparoscopic roux-en-Y duodenojejunal by¬pass for superior mesenteric artery syndrome. Surg Lapa¬rosc Endosc Percutan Tech 2011; 21: 344–7.
Abstract
References
- 1. Wilkie DPD. Chronic duodenal ileus. Am J Med Sci 1927;173:643-649 2. Welsch T, Büchler MW, Kienle P. Recalling superior mesenteric artery syndrome. Dig Surg 2007;24(3):149-56. Epub 2007 Apr 27.3. Yang WL, Zhang XC. Assessment of duodenal circular drainage in treatment of superior mesenteric artery syndrome. World J Gastroenterol 2008 Jan 14;14(2):303-6.4. Ünal A, Celal K. Superior mezenterik arter sendromunda cerrahi yaklaşım. Akademik Gastroenteroloji Dergisi 2007; 6: 153-7.5. Welsch T, Büchler MW, Kienle P. Recalling superior mesenteric artery syndrome. Dig Surg 2007; 24: 149– 6.6. Koray Ö. Hakan C. Kafa travması geçiren bir hastada süperior mezenterik arter sendromu. Ulus Travma Derg 2004;10: 264- 7.7. Siva P, Edward G. Superior mesenteric artery syndrome: spectrum of CT findings with multiplanar reconstructions and 3-D imaging. Abdom Imaging (2012) DOI: 10.1007/ s00261-012-9852-z8. Ali H, Orhan K. Superior mezenterik arter (Wilkie’s) sen¬dromu. The Medical Journal of Kocatepe 2007; 8: 23- 6.9. Jihui L, Elias C. Laparoscopic roux-en-Y duodenojejunal by¬pass for superior mesenteric artery syndrome. Surg Lapa¬rosc Endosc Percutan Tech 2011; 21: 344–7.
Details
| Primary Language | Turkish |
|---|---|
| Subjects | Health Care Administration |
| Journal Section | Articles |
| Authors | |
| Publication Date | March 16, 2020 |
| Submission Date | October 5, 2019 |
| Published in Issue | Year 2020 Volume: 10 Issue: 1 |
The published articles in SMJ are licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.