Falcone John L, Garrett Kevin O
Division of General Surgery, Department of Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA 15215, USA.
Vasc Endovascular Surg. 2010 Jul;44(5):410-2. doi: 10.1177/1538574410369390. Epub 2010 May 18.
Superior mesenteric artery (SMA) syndrome is a rare cause of bowel obstruction. It is characterized anatomically by a narrowed aortomesenteric angle, causing a mechanical obstruction at the third portion of the duodenum. Patients usually present after prolonged confinement in the supine position, significant acute weight loss, application of body casts, and severe burns with symptoms of a small bowel obstruction. We present the case of a healthy 22-year-old male athlete with SMA syndrome that occurred after blunt abdominal injury in the setting of mild chronic weight loss; he was treated nonoperatively.
肠系膜上动脉(SMA)综合征是肠梗阻的一种罕见病因。其解剖学特征为主动脉肠系膜角变窄,导致十二指肠第三部出现机械性梗阻。患者通常在长时间仰卧位、显著急性体重减轻、使用石膏固定以及严重烧伤后出现小肠梗阻症状。我们报告一例22岁健康男性运动员的病例,其在轻度慢性体重减轻情况下腹部钝性损伤后发生SMA综合征;对其进行了非手术治疗。