Department of Surgery, United Arab Emirates University, Al-Ain, United Arab Emirates.
Singapore Med J. 2010 Nov;51(11):e184-6.
Acute gastric dilatation due to superior mesenteric artery syndrome in healthy individuals is extremely rare. A 17-year-old girl who complained of epigastric pain for two days following excessive eating was admitted to our hospital. She was nauseated but was unable to vomit. Succussion splash was positive. Bedside ultrasonography revealed a hyperactive duodenum, a distended stomach compressing on the inferior vena cava and a narrowed angle between the superior mesenteric artery (SMA) and the aorta. Abdominal computed tomography imaging confirmed the above findings. The angle between the aorta and SMA was only eight degrees. Gastrograffin follow-through showed complete obstruction of the third part of the duodenum. 3,500 ml of fluid was immediately drained through the nasogastric tube. Another gastrograffin study conducted five days later showed normal results. Bedside ultrasonography thus proved to be useful for both the diagnosis and management of superior mesenteric artery syndrome.
健康人群中因肠系膜上动脉综合征导致的急性胃扩张极为罕见。一名 17 岁女孩因暴饮暴食后出现上腹痛两天而被收入我院。她感到恶心但无法呕吐。叩诊有震水声。床边超声显示十二指肠活跃，扩张的胃压迫下腔静脉，肠系膜上动脉（SMA）和主动脉之间的夹角变窄。腹部 CT 成像证实了上述发现。主动脉和 SMA 之间的夹角仅为 8 度。胃造影剂通过显示十二指肠第三部分完全梗阻。立即通过鼻胃管引流 3500 毫升液体。五天后进行的另一次胃造影研究显示结果正常。床边超声因此被证明对肠系膜上动脉综合征的诊断和治疗都很有用。
