J Korean Assoc Pediatr Surg.  2005 Dec;11(2):180-185.

Laparoscopic Operation for Superior Mesenteric Artery Syndrome and Follow-up with 3-Dimensional Reconstructive CT: 1 Case Report

• Kim SM
• Kim SH
• Kwon IK
• Kim MJ
• Hyoung WJ
• Choi SH

Abstract

Superior mesenteric artery (SMA) syndrome is a rare disorder caused by extrinsic compression of the third portion of the duodenum by the SMA. The operative treatment of choice is bypassing the obstructed duodenal segment by duodenojejunostomy. We report one case of SMA syndrome treated by laparoscopic duodenojejunostomy and followed up by 3D-reconstructive CT scan. A fifteen-year-old boy with intermittent vomiting and weight loss was admitted. Ultrasonography showed narrowing of the distance between the SMA and aorta. Hypotonic duodenography showed dilatation of duodenal third portion and barium stasis. On 3D-reconstructive CT scan, the angle between SMA and aorta was 37 degrees. The postoperative course was uneventful. Three months later, he had gained 3 kg of weight and the angle between SMA and aorta increased to 38-39 degrees on 3D reconstructive CT scan. Laparoscopic duodenojejunostomy for bypassing the obstructive duodenum in SMA syndrome is a feasible and safe method.

Keyword

Superior mesenteric artery syndrome; Laparoscopic duodenojejunostomy; 3D reconstructive CT scan

MeSH Terms

Aorta
Barium
Dilatation
Duodenum
Humans
Male
Mesenteric Artery, Superior*
Superior Mesenteric Artery Syndrome*
Tomography, X-Ray Computed
Ultrasonography
Vomiting
Weight Loss
Barium