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Korean J Gastrointest Endosc > Volume 32(3); 2006 > Article
Korean Journal of Gastrointestinal Endoscopy 2006;32(3): 215-220.
복강경을 이용하여 치료한 상장간막 동맥 증후군 1예
천지성·정우철·황성수*·조현민·이강문·이보인·이수연·안지원·장우임·양진모·최규용·정인식
가톨릭대학교 의과대학 내과학교실, *방사선과학교실, 외과학교실
A Case of Superior Mesenteric Artery Syndrome Treated by Laparoscopic Surgery
Ji-Sung Chun, M.D., Woo-Chul Chung, M.D., Seong-Su Hwang, M.D.*, Hyun-Min Cho, M.D., Kang-Moon Lee, M.D., Bo-In Lee, M.D., Su-Yeon Lee, M.D., Ji-Won An, M.D., U-Im Chang, M.D., Jin-Mo Yang, M.D., Kyu-Yong Choi, M.D. and In-Sik Chung, M.D.
Departments of Internal Medicine, *Radiology and Surgery, College of Medicine, The Catholic University of Korea, Seoul, Korea
Abstract
Superior mesenteric artery (SMA) syndrome is a symptom complex resulting from compression of third portion of duodenum by the root of the small bowel mesentery at the level of the SMA. This syndrome can occur as an acute illness but more commonly it appears as chronic condition. Identification of this syndrome can be a diagnostic dilemma and it is frequently made by exclusion. In our patient, rapid weight loss, nausea and bile stained vomiting were present. Ultrasound and MR-angiography were performed for measuring the angle and the distance between the SMA and the aorta. We confirmed the diagnosis via the reduced aorto-mesenteric angle and distance and the patient was then treated by laparoscopic surgery. After lysis of the ligament of Treitz, the patient's symptom were improved. This syndrome must be considered as one of the causes of upper gastrointestinal obstruction. (Korean J Gastrointest Endosc 2006;32:215⁣220)
Key Words: Superior mesenteric artery syndrome, Upper gastrointestinal obstruction, Laparoscopic surgery
주요어: 상장간막 동맥 증후군, 상부위장관 폐쇄, 복강경
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